Please print out
this form, tick the appropriate boxes [ ], enclose payment, and
send by surface mail to Paul Treffner
at the address below.
SINGLE CONFERENCE REGISTRATION:
5th Biennial Motor Control and Human Skill Research Workshop
LATE REGISTRATION - after Nov. 15th
Professional A$370 [ ]
Student A$220 [ ]
JOINT CONFERENCE REGISTRATION:
5th Biennial Motor Control and Human Skill Research Workshop
and
ABC3 Conference
LATE REGISTRATION - after Nov. 15th
Professional A$440 [ ]
Student A$290 [ ]
All figures are in Australian dollars AUD$.
Registration fees include admission to all conference activities,
coffee breaks, full lunch each day, a Welcome Party on Thursday
night (including drinks), entertainment, and the Conference Banquet(s).
Cancellation policy: Full refund of registration fee (less $A50
handling fee) for cancellation prior to Jan 10th, 2000.
Accommodation at Watermark Hotel:
Without Breakfast A$105/night (single or double occupancy) [ ]
With Breakfast - Single occupancy A$110/night [ ]
With Breakfast - Double occupancy A$125/night [ ]
Please specify exactly which nights and dates you want reserved.
You can reserve extra nights before and after the conference for
the same special rates:
Dates wanted:__________________________________________
Total number of nights wanted: _______
Amount enclosed for Watermark accommodation: A$ ___________
Personal Details:
First Name: _____________________________________________
Last Name: _____________________________________________
Address: _______________________________________________
_______________________________________________________
City: __________________________________________________
State: _________________________________________________
Country: _______________________________________________
E-mail: ________________________________________________
Phone: ________________________________________________
Fax: __________________________________________________
A) Payment by check [ ]
Enclosed is a cheque for the total amount (registration + accommodation)
of:
$A____________
payable to:
School of Physiotherapy and Exercise Science.
Please sign the back of your check.
B) Payment by card [ ]
Please charge $AUD___________ to my credit card:
Visa [ ]
MasterCard [ ]
Bankcard Card [ ]
Card Number: _________________________________
Expiry date: __________________________________
Cardholder's name: ____________________________
Cardholder's signature: __________________________
Please send your total registration (and Watermark) payment to:
Dr. Paul Treffner,
5th Biennial Workshop,
School of Physiotherapy and Exercise Science,
Griffith University,
PMB 50 Gold Coast Mail Centre,
QLD 9726,
Australia.
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