Conference at Adelaide, South Australia
University of South Australia
City West Campus
70 North Terrace, Adelaide
29 November - 1 December 2001
REGISTRATION FORM
An RTF version of this registration form
(which you can download, then fill in with most word processing software) is available
here.
A. DELEGATE DETAILS
| Title |
.............................................................. |
| Family Name |
.............................................................. |
| Other Names |
.............................................................. |
| Organisation |
.............................................................. |
| Position Held |
.............................................................. |
| Postal Address
|
Street |
.............................................................. |
| Suburb |
.............................................................. |
| Postcode |
.............................................................. |
| Country |
.............................................................. |
| Phone contact |
.............................................................. |
| Fax |
.............................................................. |
| email |
............................................................. |
| Name for Badge |
.............................................................. |
| Special Requirements (disability, dietary) |
.............................................................. |
Accompanying persons details
| Title |
.............................................................. |
| Family Name |
.............................................................. |
| Other Names |
.............................................................. |
| Name for Badge |
.............................................................. |
| Special Requirements (disability, dietary) |
.............................................................. |
B. ACCOMMODATION
(Please note all hotels have a limited number of rooms with wheelchair access)
Deposit of one nights accommodation charge is required to book the room. Bookings
received after 30 September 2001 are not guaranteed.
You have two options for booking accommodation:
1. You may book direclty with the hotel of your choice, or
2. Ms Ann Braybon has offered to make the bookings on your behalf at no charge to
you. Contact Ann at ann.braybon@unisa.edu.au
Saville Park Suites
255 Hindley Street, Adelaide (approx 2 min walk) www.savillesuites.com.au
| Superior Studio (2 pax max) |
$A122.00 |
[] |
| Premium Studio (2 pax max) |
$A145.00 |
[] |
| Superior 2 bedroom (4 pax max) |
$A167.00 |
[] |
| Premium 2 bedroom (4 pax max) |
$A196.00 |
[] |
King William All Suites Hotel 4½ star www.ihm.com.au
82-88 King William Street Adelaide (approx 10 min walk)
| Single |
$A148.75 (inc GST) |
[] |
| Double |
$A148.75 (inc GST) |
[] |
| Twin |
$A148.75 (inc GST) |
[] |
Barron on Hindley
164 Hindley Street, Adelaide (approx 3 min walk)
| Single |
$A140.00 (inc GST) |
[] |
| Double |
$A140.00 (inc GST) |
[] |
| Twin |
$A140.00 (inc GST) |
[] |
| Triple Share person |
$A18.00 extra |
[] |
Radisson Playford Hotel & Suites
120 North Terrace Adelaide (approx 5 min walk) www.radisson.com/adelaideau
| Guest Room Suite |
Single/Double |
$A185.00 |
[] |
| Studio Suites |
Single/Double |
$A225.00 |
[] |
| Loft Suite |
Single/Double |
$A245.00 |
[] |
| 2 bedroom Loft Suite |
Single/Double |
$A295.00 |
[] |
St Mark's College
46 Pennington Tce, North Adelaide (approx 15 min. walk) www.adelaide.edu.au/stmarks
| Single room |
Bed & breakfast, shared facilities |
$A35.20 |
[] |
Accommodation Total $A
I will be sharing my room with
No of nights' accommodation required .... Date In
. Date
Out
..
| Arrival time/date ............................. |
Flight No. ................ |
| Departure time/date ......................... |
Flight No. ................ |
Special requirements ( eg. non-smoking)
...............................................................
2. I do not require accommodation to be booked on my behalf []
Accommodation deposits will be forfeited if the room is not occupied on the arrival
date stated.
C. CONFERENCE DINNER
Conference Dinner: Latin American theme. Not included in full registration fee -
including 3 course menu, Latin American band, and drinks.
No. of Tickets @ $A65.00 per person. @ .....
Conference and dinner - Total $A ...............
D. REGISTRATION FEES
All amounts are Australian dollars ($A). Currently $A1 = about 53 cents US.
I enclose payment for the following fees:
| |
Early bird payment before 30.9.01 |
Late payment after 30.9.01 |
Payment $A |
| Full Registration (inc. All session & conference pack) |
$A350.00 |
$A400.00 |
.............. |
Full-time Student/Pensioner
(inc. All sessions & conference pack) |
$A200.00 |
$A250.00 |
.............. |
Day Registration (circle relevant day)
- Thursday
- Friday
- Saturday
(inc. day session & conference pack) |
$A180.00 |
$A200.00 |
.............. |
Day Registration
Full-time Student/Pensioner
(circle relevant day)
- Thursday
- Friday
- Saturday
(inc. day session & conference pack) |
$A80.00 |
$A100.00 |
.............. |
| Volunteer Helpers - limited numbers (food only costs) |
$A50.00 |
|
.............. |
| Advanced Skills Workshop (Saturday afternoon - 2 hours) |
$A50.00 |
|
.............. |
| Total Registration |
|
|
.............. |
| Total Section B (Accommodation) |
$A.............. |
| Total Section C (Social activities) |
$A.............. |
| Total Section D (Registration) |
$A.............. |
| Grand Total (B, C, D) |
$A.............. |
PAYMENT
If you require a tax invoice prior to payment, please complete the
following:
ABN No.
Postal details for invoice if different from above
If you wish to pay by credit card, complete the following:
| Visa [] |
Bankcard [] |
Mastercard [] |
Credit card number
Cardholders Name
Expiry Date
Signature
Credit card amount: $A
.
Cheques/Money Orders should be made payable to: APMF - UniSA
Send payment and Registration form to:
Asia-Pacific Mediation Forum
C/- Ann Braybon
P O Box 8084
Station Arcade
Adelaide 5000
Australia
Telephone and fax inquiries to Ann:
tel (08) 8302 0974 - or from overseas +618 8302 0974
fax (08) 8302 0970 - or from overseas +618 8302 0970
E. AIRFARES
Domestic airfares
Qantas Airways
Virgin Blue
International airfares
Please advise of your flight requirements and we will endeavour to make enquires to
receive the best quote.
F. REFUNDS
A full refund of the conference fees and/or social function costs less an
administration fee of $A75.00 will be made on the condition that notice of cancellation is
received in writing 30 days or more prior to the Forum. Cancellations received less than
30 days from the commencement of the program are subject to a 50% cancellation fee. No
refunds will be given to cancellations within one week of the conference or failure to
attend. Registered delegates may send substitutes at any time.
This conference is sponsored by the World Mediation Forum,
the University of South Australia, and the Hawke Institute.
Related sites: Ausdispute
| Conflict Management Research Group | AAPAE Conference
Disclaimer
| Copyright (c) 2001 University of South Australia
Updated 21 February 2003 |