2011 AHPA 20th National Conference
THIS FORM IS FOR NEW REGISTRATIONS ONLY.
TO MAKE AN AMENDMENT CONTACT CONFERENCE CO-ORDINATORS
NOTE: If a duplicate form is completed you will be charged for two registrations.
Amendments or payments to a previously submitted registration must not be made by completing this form again,
please email firstname.lastname@example.org or phone 02 6292 9000.
*Student/Senior Registration Fees
You must be a full time student to qualify for the student rate. Your registration form must be submitted with a signed letter confirming your full time student status on your educational institution’s letterhead by your lecturer or student administrator. Seniors should supply a copy of their Senior Citizens Card. NOTE: The Student/Senior registration rate does not include the Conference dinner.
**Member Registration Fees
As per the 2010 AHPA Membership Benefits and Fees, members rates are available to Individual Members (not Corporate subscriptions). The rate is available for the membership holder only and is not transferable.
Conference Dinner (Tuesday 12 April 2011)
If you would like a copy of your invoice sent directly to your accounts section please provide an email and contact name below.
Accounts Contact: Title
To book your accommodation at the rates listed below complete this section of the registration form.
Bookings are subject to availability and should be made prior to Friday 11 March 2011. All cancellations or amendments must be made in writing to Conference Co-ordinators and will be acknowledged by facsimile. Please note your credit card details are required to guarantee your room. Neither Conference Co‑ordinators nor the hotel will make any charges against your credit card unless you fail to give 21 days notice in writing of your cancellation. Full payment of your account will be required at the time of your departure.