34th ANNUAL CONFERENCE INDIVIDUAL REGISTRATION FORM
Malborough Convention Centre. Wed 30th June to Sat 3rd July 2010 Please Note: A $50 late fee applies after 31st May 2010
Section 1: Registrant Details
COMPANY (OR PLACE OF WORK) [Will be put on your name tag]
NAME OF REGISTRANT
EMAIL ADDRESS
PHONE NO
SPECIAL DIETARY REQUIREMENTS [IF ANY]
Conference fee includes all morning & afternoon teas, lunches, conference pack, venue hire etc.
Section 2: Conference Options
STUDENT REGISTRATION - Full Conference You must be a student at university to qualify for this rate. ie Not working.
TOTAL COST Please Note: A late fee of $50 will apply after 31st May 2010
OPTIONAL: Please indicate which stream you will attend on Friday morning