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ESCAPE Conference
June 26-29 2003
Strahan, Tasmania
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REGISTRATION FORM
NB. This is not an on-line registration
form. Please print and post the completed form with your payment to
the address below.
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Title:
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Surname: |
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First Name:
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Preferred name (for badge) |
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Mailing address:
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Postcode:
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Country: |
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Phone:
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Fax: |
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Email:
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Registration Fees - includes cruise on Gordon
River and lunch on that day
Bus departing from the Hotel Grand Chancellor, Hobart, Campbell
Street side, at 11 am, Thursday 26th June, and departing Strahan,
at 3 pm, Sunday 29th June. Approximate travelling time: 5.0-5.5 hours.
Seats limited.
| Full attendance for
waged attendees |
$210
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$............
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| Full attendance for students and
unwaged attendees |
$90
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$............
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Tourism Operators only (for Saturday
Tourism Session)
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$30
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$............
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| Please add 10% for
GST |
Subtotal
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$............
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| Bus - one way |
$25
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$............
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| Bus - return |
$50
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$............
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Conference Dinner -
Featuring sensational local produce
(Drinks available for purchase at bar) |
$35
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$............
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| Tourism Operator Sunday
Cruise Option |
$50
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$............
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| TOTAL (Including
GST) |
Total
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$............
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University of Tasmania ABN: 30
764 374 782
This document will be a tax record for GST when you make a payment
Please send completed form with cheque or money order
payable to The School of History and Classics, ESCAPE Conference
to:
D. Blackler
School of History and Classics
University of Tasmania,
Box 252-81
Hobart 7001
AUSTRALIA |
| Visa |
Mastercard |
American Express |
Card number
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Expiry date
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Cardholder's name
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Signature
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Last
updated 18th Dec 2002
For more information contact
L.Frost@utas.edu.au
©
Copyright
University of Tasmania |
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