REGISTRATION                                                                                                                              ABN: 88010606694

                                                                                                                    

To register please complete the form below with your personal detail and click on the Send Registration button at the bottom of the page.

Your details will be kept for use in managing this conference only, unless otherwise instructed.

 

Official Dates:

Monday 6th  October 2008 - Optional Workshops

Tuesday 7th - Thursday 9th October 2008 - Official Conference - 3 days

Friday 10th October 2008 - Optional Site Visits 

Early Bird Registration has closed.

The fields in GREEN are required -

Section 1

Title              
First Name
Family Name
Badge Name (only if different from above) 
Job Title 
Division  
Organisation
Address Line 1
Address Line 2
Suburb/City 
State     Postal Code 
Country    (Required)
Business Phone      
Business Fax  
Mobile Phone   
E-Mail Address   please ensure address is spelt correctly
  Is this your Work Address?
Special Dietary Requirements
Other Requirements    wheelchair access etc
Send Correspondence E-Mail Fax      Mail     

 

Note:

I agree that the committee may publish my name and contact details in a conference delegate list included in the conference satchel.

I also agree that the committee may send my contact details to the organising committee of future ACMHN Conferences

 

If you disagree with either of the above statements please click on the appropriate tick box and remove the 'tick".

Accompanying Person Information 

 

You only need to complete this section if you will be purchasing extra function tickets or sharing a room with your non delegate partner.
Title    
First Name
Surname 
Badge Name (only if different from above) 
Special Dietary Requirements  
Section 2 - Full Registration

Full Registration includes:

Attendance to all conference sessions, Ticket to Welcome Reception
Access to Exhibition area, Conference satchel with complete conference program
Morning and Afternoon Teas DAILY, Lunches DAILY

 

Tickets to attend the conference dinner can be purchased in section 4, you may also purchase extra tickets to the Welcome Function in section 4.

Registration Type  

($AUD)

 

The welcome reception is included in the full registration fee. It is not included in student or day delegate registration fees. Please indicate whether you will or will not attend the welcome reception.

I will attend the Welcome Reception

Section 3 - Partial Registration Information - Day and Workshop Registration

 

Day registration is also available for delegates unable to attend the full conference. Day registration includes:

Attendance to conference sessions on a single day. Access to Exhibition area on a single day.
Conference satchel with complete conference program, Morning and Afternoon Teas on the day, Lunch on the day

 

The Research Board and Credentialing Workshops are FREE all others are between $75.00 and $130 each.  Workshops may be cancelled if numbers are insufficient.

 

Day Only  Registration

 

Amount due ($AUD)

Day Only  Registration   Amount due ($AUD) 
Workshop Registration   Amount due ($AUD) 
Workshop Registration   Amount due ($AUD) 
Workshop Registration   Amount due ($AUD)

Workshop Registration

 

Amount due ($AUD)

Section 4 - Social Function Tickets

 

The welcome reception is included for delegates with a full registration, if you need to purchase a ticket for the Conference Dinner or you wish to get an additional ticket for your partner to attend the Welcome Reception you can do so here.

 

The conference dinner (at the MCG Private Members dining Room) is an optional extra, if you wish to attend you will need to purchase a ticket here. The dinner tickets include a beverage package. Pre- dinner drinks start at 7.00pm for dinner at 7.30pm.

 

Dress Code:  After 5,  Lounge Suit - "Dress to Impress"

 

Dinner tickets for full delegates are $85.00 each

Dinner tickets for day delegates or partners are $120.00 each

Extra Welcome Reception Tickets are $60.00 each

 

Conference Dinner or Extra Welcome

Reception Tickets

   Amount due ($AUD)
  Amount due ($AUD) 
 

Total Registration Amount Due ($AUD)

  

Section 4 - Hotel Booking Information

 

Please note: If sharing a room, split deposit payments for accommodation can not be accepted. 

 

Your hotel booking is not confirmed until the deposit payment has been received or you provide a credit card number.  You can do this at  the payment gateway link on your tax invoice.

 

The balance of your Hotel bills can be settled on check out.

 

DO NOT book a room if you are sharing with another person with a room booking.  All room booking deposits can be paid by cheque or Credit Card guarantee to confirm the booking.

If you need a Tax Invoice for the full stay please tick this box.

 

Special discounted room rates are available for delegates.

The Sebel

Queen Room per night

 

Single (Queen bed) $193/night
Double (Queen bed) $193/night
Twin (Queen beds) $193/night. 

 

 

The Citgate

Queen room per night

 

$163 Single

$163 Double       

$163 Twin

 

Bayview on the Park

 52 Queens Rd, Melbourne VIC 3004

 

$155.00 single/double/twin


Bayview On The Park is an award winning 4 star leisure hotel situated on Queens Road opposite Albert Park lake and golf course.

 

To take advantage of these discounted rates please book here.
 

If booking accommodation please make a selection from all fields in GREEN

Hotel  

Note: Single (queen bed) - Double (king bed) Twin (queen beds)  

Arrival Date

  

 

  

Departure Date

    

Room Type

  

Arrival Time

 

Sharing room with nominated accompanying person

Hotel Deposit Due  ($AUD)

 

Special Requirements 

Section 5  - Payment Method - please indicate your preference

 

*** Electronic Transfer

 

BSB 084 009

Account Name:

AST Management Pty Ltd

National Bank

Account Number: 58130 2399

Cheque

 

Make payable to:

AST Management

C/- AST MANAGEMENT Pty Ltd
PO Box 10508 Southport BC 4215, Queensland Australia

Credit Card 

 

You will be sent the link to the payment gateway with your tax invoice.

 Split Payment 

 

If you wish to pay for additional social tickets separately, you must visit the link on the tax invoice and make a part payment by credit card.

 

*** Electronic Transfer - fax or email a copy of the receipt to 07 5528 5291 and include the delegates name(s) and conference name.

 

Please note: Your registration will be processed in the next 8 business hours.  You will receive a tax invoice by email which will include the link to the payment gateway if you wish to pay by credit card.  If you do not receive any correspondence,  contact the conference secretariat.

 

Check registration booking conditions here .  I accept these conditions.

Built and hosted by AST Conference Management  2006     Ph: 07 5528 2501  Fax: 07 55285291