BUSHFIRE 99

REGISTRATION FORM

Early registration closes 31 March 1999 Homepage: (http://www.csu.edu.au/special/bushfire99/)
Stop! Please print out this completed form and send with full payment (and abstract, if appropriate) to: BUSHFIRE 99, Charles Sturt University, PO Box 789, Albury, NSW 2640. (Make cheques payable to BUSHFIRE 99).

Title: First/preferred name: Last name:
Department and organisation:
Postal address:

Postcode:
Phone:
Fax:
Email:

Registration fees Before 31 March From 1 April - 31 May 1 1 June - at the conference

Normal rate: $ 190 $ 220 $ 260

Student rate: $ 120 $ 150 $ 210

Day rate (including lunch) $ 95/day $ 105/day $ 115/day

Conference dinner (CSU wines included) Thursday evening: No. of persons @ $45

Conference tour to be held during the conference: Thursday afternoon
(NB: Cost of tour is included in registration. Partners are invited at the cost of $25)

Rutherglen Study Tour: My partner will be attending at the cost of $25 Yes No

Social evening: For catering purposes, will you be attending the free social evening on Tuesday evening?
YES NO

Do you have any special dietary requirements (e.g. vegetarian meal request?)

(Make cheque or money order payable to: "BUSHFIRE 99" and send with registration form to: BUSHFIRE 99, Charles Sturt University, PO Box 789, Albury NSW 2640)

If paying by credit card, please print and complete credit card details below and send to the address above.

PLEASE CHARGE:

Credit Card (please tick):	[] Bankcard	
                                [] Mastercard	
                                [] Visa.

Credit Card No.	: : : : : : : : : : : : : : : : : : : :

Name(Please Print): ....................................

Amount(AUD): $..........................................

Card Expiry Date: ......................................	

Signature: .............................................

Accommodation

Accommodation has been block-booked in a variety of motels and other lodgings. Please indicate the type of accommodation you require when attending BUSHFIRE 99. Relevant information will then be sent to you. (No obligation!)

I will arrange my own accommodation for BUSHFIRE 99 (don't leave it too late - it's peak tourist time in the region!)
Budget ($30 - $45 per night) Standard ($50-80 per night) Luxury ($80+ per night)

Additional information:

Do you require childcare facilities? Yes No
Do you require special access?