Registration Form

 

By submitting this form you agree to the terms of the cancellation policy set out in the conference information brochure.
All prices quoted are in Australian Dollars and are inclusive of GST.   ALGA ABN: 31 008 613 876

The data in this form is not recorded until the SUBMIT button is pushed. The SUBMIT button is at the bottom of this form. 

NOTE: You will receive a confirmation via email of your registration (which will also be your tax invoice) within seven days from Conference Co-ordinators. 
If you do not receive written confirmation please contact Conference Co-ordinators on +61 (0)2 6292 9000 or via email at roadscongress@confco.com.au.

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Delegate Details

(Organisation and State as provided above will also appear)

Registration Fees

EARLY Registration Fee (payment received prior 27 September 2019)
LATE Registration Fee (payment received after 27 September 2019)

Accompanying Partners

 

 

 

Social Functions Included in Fees

One ticket to each of the following functions is included in the full Roads Congress Registration fee. Please confirm if you will be attending by selecting the appropriate boxes.

To purchase additional tickets to any of the functions please indicate the number required.

 

PRE CONGRESS TOUR, Monday 18 November 2019 - TBA

 

WELCOME RECEPTION & EXHIBITION OPENING, Monday 18 November 2019 - Adelaide Hills Convention Centre

 

 

CONGRESS DINNER, Tuesday 19 November 2019 - Adelaide Town Hall

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Registration and Social Function Payment Details

Please issue an invoice (Invoices are automatically issued on receipt of registrations)
I have transacted an Electronic Funds Transfer to the ALGA Roads Congress.

ALGA Account: Bank: Commonwealth Branch: Woden, ACT BSB No: 062 905 Account No: 1014 6120.
NOTE: This account is specifically for congress payments ONLY

Please charge my credit card the total noted above
NOTE: Credit cards are not automatically charged when you submit this form. Cards are processed within 5 working days of submission.

Accounts/Billing Contact

If your require a copy of the invoice to be sent to an email address that is different to the one completed under delegate information please complete it below.  NOTE: A copy of the invoice/confirmation will also be sent to the email address provided under delegate information.

Accommodation

If you DO NOT require accommodation proceed to the SUBMIT button at the bottom of the page
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 19 October 2019. All cancellations or amendments must be made in writing to Conference Co-ordinators and will be acknowledged by email. 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.
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ROOM TYPE SELECTION
Hahndorf Resort
Resort Room (1 Bed)   $169 per night, upto 2 adults Select to book room and advise number of guests:


One Bedroom Unit (1 Bed)   $169 per night, upto 2 adults Select to book room and advise number of guests:


Two Bedroom Unit (2 Beds) Minimum 2 people $169 per night, 2 adults. $25 per additional adult Select to book room and advise number of guests:



Three Bedroom Unit (3 Beds) Minimum 3 people $169 per night, 2 adults. $25 per additional adultSelect to book room and advise number of guests:



The Mana by Haus
Executive Room (1 Bed)   $169 per night, upto 2 adults Select to book room and advise number of guests:


Executive Room (2 Beds) Minimum 2 people $169 per night, 2 adults. $25 per additional adult Confirm room and number of guests:



Supierior Rooms (1 Bed)   $169 per night, upto 2 adults Select to book room and advise number of guests:


The Lodge by Haus
Standard Room (1 Queen)   $169 per night, upto 2 adults Select to book room and advise number of guests:


The Studios by Haus
One Bedroom Apartment   $169 per night, upto 2 adults Select to book room and advise number of guests:


Hahndorf Oak Tree Cottages
Room (1 Queen)   $185 per night, upto 2 adults Select to book room and advise number of guests:


           

ACCOMMODATION DATES

 

CREDIT CARD DETAILS

Cancellation Policy

PLEASE COMPLETE YOUR TITLE ABOVE

PLEASE COMPLETE YOUR NAME ABOVE

PLEASE COMPLETE YOUR SURNAME ABOVE

PLEASE COMPLETE YOUR ORGANISATION ABOVE

PLEASE COMPLETE YOUR PHONE NUMBER ABOVE

A VALID EMAIL ADDRESS IS REQUIRED

EMAIL ADDRESS MUST MATCH

YOU MUST AGREE TO THE CANCELLATION POLICY