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The information below will be reproduced in the delegate list at the Conference and be used for all mailings. Please complete the form and submit to the Conference secretariat. An emailed confirmation will be sent to you within one week of submission.

A. Delegate Details

 Required
Title:
Given Name:
Surname:
Company:
Postal Address:
Suburb:
State:
Postcode:
Tel:
Fax:
Email:
Preferred Name on Badge:
Special needs
(dietary, access etc):

Accompanying Person

Given Name:
Surname:
Special Needs
(dietary, access etc):
 Please tick If you do not want details included in the delegate list provided on site

B. Registration Fees (these include GST)

  Registration Fee Number of People
Member A$ 840
Non Member A$ 980
Accompanying Person A$ 195
Day Rego* A$ 430
*Please indicate which day you would like to attend:   Thursday  Friday

SUB-TOTAL REGISTRATION FEE: A$ 

C. Accommodation

All rates include GST. One night’s deposit, or credit card guarantee must be given to secure your booking. Contact the secretariat for information on rooms for three or more persons.
 I do not require the Secretariat to book accommodation for me.
 Please use my credit card details to hold room (credit card will not be charged prior to the       conference)
 I will send a cheque for the room amount (at least one night’s deposit required)

Room Type:
 Resort Room $150 per night
 Resort Suite $180 per night

Check in Date
Check out Date
No. of nights
I wish to share my room with:
Please note – the Conference secretariat does not organise share accommodation – if you wish to share, you must find someone to share with.
SUB-TOTAL ACCOMMODATION:A$

D. Breakfast

I would like to pre-purchase breakfast @ $19 for each morning we are at the hotel.
Number of Adults
No. of nights
SUB-TOTAL BREAKFASTS:A$

E. Social Functions & Tickets

If you would like to bring a partner or friend to the event, please complete below and include payment with your registration.
 Please tick If you bring any person or partner to Social Functions
Sponsor Event Cost No of ticket(s):
Welcome Reception Included for registered persons
Extra tickets $65
Conference Dinner Included for registered persons
Extra ticket $115
SUB-TOTAL SOCIAL FUNCTIONS:A$

F. Golf and Tours

Event Date Cost (inc GST) No. of Tickets Total
Golf Day Wed 18th May
$100 for AFIF Delegate
$110 for non registered persons
Green Island Tour Wed 18th May $75 per person    
Ladies Lunch Thu 19th May $42 per person    
Forms requesting handicaps and other information will be sent to you with your confirmation

SUB-TOTAL GOLF AND TOURS A$

G. Travel Details and Additional Transfers

Please complete below to allow the conference secretariat to organise transfers for you.
 I do not require the secretariat to organise transfers for me
Airline:
Flight Number:
Arrival date:
Arrival time:
Departure date:
Departure time:

Persons travelling

Total Registered Person
Adult:
Children:
Total UnRegistered Person
Adult: X $15/person=
Children: X $7/person=  
SUB-TOTAL TRANSFERS $

H. Polo Shirt

This year DSL Star Express are sponsoring a conference polo t-shirt. Please select what size shirt you would require
Small   Medium   Large   X Large   XX Large   XXX Large

G. Payment (all prices include GST where applicable)

Section B Registration Fees A$
Section C Accommodation (only complete if paying by cheque) A$
Section D Breakfasts A$
Section E Social Functions A$
Section F Golf & Tours A$
Section G Travel & Transfer A$
Total Fees Enclosed   A$
  I have read and agree to all the conditions outlined in this registration form
  Please find enclosed cheque/money order payable to AFIF

Please charge the total amount above to the following credit card
Mastercard Visa Card Bankcard
Credit card number
Expiry Date: / Name on card:

Any Comments?

If you have any special requests/comments please complete here: