Registration Form

By submitting this form you agree to the terms of the cancellation policy.
All prices quoted are in Australian Dollars and are inclusive of GST.   ACRS ABN: 12 841 412 581

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 require assistance or have not receive written confirmation please contact
Conference Co-ordinators on +61 (0)2 6292 9000 or via email at arsc@confco.com.au.


Link back to ARSC 2016 Conference Website

Please DO NOT type in ALL CAPITALS
PERSONAL DETAILS
Title   First Name  Surname
Position 
Organisation 
Address 
Suburb   State  Postcode 
Phone    Fax   Mobile
Delegates Email  This email will be used to send your confirmation letter to you and any event updates
Reconfirm Email  Re-enter your email address here to ensure it is correct
Name for Badge  Organisation and State as provided above will also be included on your badge
SPECIAL REQUIREMENTS: Inclduing Dietary (eg Vegetarian) AND Additional Information required (eg Mobility)
Privacy Disclosure
I conset to ARSC disclosing my personal contact information as outlined in the privacy disclosure.
Registration Fees
 
If you have a DISCOUNT CODE please enter it here 
Social Functions
Pre-Conference Networking Function: Monday 5 September 2016 (registered delegates invited with further details to follow)
I will attend  Delegate        
Welcome Reception: War Memorial Tuesday 6 September 2016
I will attend  Delegate   Number of Additional Tickets @ $60.00 each Total
Conference Dinner: Parliament House Wednesday 7 September 2016
I will attend  Delegate   Number of Additional Tickets @ $125.00 each Total
         
     
Conference Survey
To enable us to have a complete understanding of the conference attendees please complete the two survey questions below
Please select the position type to most acurately describes your current role
Please select the sector that most acuratley describes your industry
Registration and Social Function Payment Details
CHEQUE I am forwarding a cheque made payable to ARSC 2016
INVOICE Please issue an invoice (Invoices are automatically issued on receipt of registrations)
EFT I have transacted an Electronic Funds Transfer to the ARSC 2016.   Transaction reference number 
  Account: ARSC 2016 Bank: NAB Branch Woden BSB No: 082 926 Account No: 45 843 0969
NOTE: This account is specifically for conference payments ONLY
MasterCard  
VISA  
Card Number      Expiry Date
Name of the person who signs the card
Accounts Contact
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 First Name   Surname
Accounts Email
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 29 July 2016. 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.
     
Crowne Plaza Hotel Information    
Superior Room $230 per night Single Twin Double
Deluxe Room $265 per night Single Twin Double
Avenue Hotel Hotel Information    
Superior King Room $220 per night Single Twin Double
Waldorf Apartments Hotel Information    
$200 per night Single Twin Double
1 Bedroom Apartment $220 per night Single Twin Double
Medina Apartment Hotel    
1 Bedroom Apartment $210 per night Single Twin Double
   2 Bedroom Apartment $250 per night Single Twin Double
Qt Canberra Hotel Information    
Standard Room $245 per night Single Twin Double
Novotel Hotel Information    
  Standard Room $195 per night Single Twin Double
  Executive Room $225 per night Single         N/A Twin Double
Mantra on Northbourne Hotel Information    
Hotel Room $199 per night Single Twin Double
  1 Bedroom Apartment $219 per night Single         N/A Twin Double
Peppers Gallery Hotel Hotel Information    
Deluxe Room $225 per night Single         N/A Twin Double
 Premier Room $245 per night Single         N/A Twin Double
 
Please indicate your second and third choices of accommodation below should your first choice not be available.
2nd Choice
3rd Choice
USE date format dd/mm/yyyy  you MUST use the / key
Date of Arrival (dd/mm/yyyy)

Date of Departure (dd/mm/yyyy)  
Estimated Time of Arrival Sharing with (if applicable)  
Special Requirements eg Diet, Mobliity
Accommodation Credit Card Guarantee Details
I understand that neither Conference Co-ordinators or the hotel will make any charges against my card unless I fail to give at least 21 days notice in writing of my cancellation.  Cancellations or reductions to your booking made less than 21 days prior to your arrival will require payment in full unless the room(s) can be resold.  Full payment of the account will be required either on arrival or departure depeding on the individual property.
Please use the credit card details provided above (to pay for my registration) to guarantee my accommodation
      
Card Expiry  
Cancellation Policy
I understand that by submitting this registration form I agree to the terms of the cancellation policy. Click here to view the cancellation policy.
 
If your submission is successful a page will display
that thanks you for your registration and provides
further details. If the Thank-you page does not
display contact Conference Co-ordinators
on +61 2 6292 9000 or email arsc@confco.com.au