apmf_ext_title.gif (4519 bytes)

UniSA logo

 

Conference at Adelaide, South Australia
University of South Australia
City West Campus
70 North Terrace, Adelaide
29 November - 1 December 2001


REGISTRATION FORM

word-small-icon.gif (138 bytes) 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 person’s 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 night’s 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 ………………………………………………………

Cardholder’s 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.

unilogo.gif (467 bytes) ADF logo.jpg (10093 bytes)

 Related sites: Ausdispute | Conflict Management Research Group | AAPAE Conference

topDisclaimerCopyright (c) 2001 University of South Australia  

Updated 21 February 2003