AWM Conference Registration

Registration Form

By submitting this form you agree to the Terms and Conditions. All prices quoted are in Australian Dollars and are inclusive of GST.

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 awm@confco.com.au.

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 consent to my name appearing in the Conference List of Participants (name, organisation and state only disclosed).

Registration Fees and Social Functions

Conference Registration Fee

Total

Note: proof of concessional status will be required, please send to awm@confco.com.au
Friends of the memorial: membership number required, Full time students: copy of card required and Pensioners: number required

Social Functions INCLUDED in Fees

One ticket to the welcome reception being held and the French Embassy Residence is included in your registration fee. Please confirm if you will be attending by selecting the appropriate box.

Welcome Reception, Tuesday 19 July 2016

CLOSED

Social Functions ADDITIONAL Fee applies

Tickets to this function is not included in your registration fee, to purchase tickets please indicate the number required.

Conference Dinner, Wednesday 20 July 2016

Number of Tickets required @ $100.00 each

Total

Registration and Social Function Payment Details

INVOICE (Invoices are automatically issued on receipt of registrations)

EFT (Bank Transfer) to the AWM Attrition Conference Account. Transaction reference number (delegate surname and initial preferred)

AWM Attrition Conference Account: Bank: Westpac Branch: Tuggeranong BSB No: 032 636 Account No: 333 595. NOTE This account is specifically for conference payments ONLY

CREDIT CARD:

Card Number Expiry Date

Name of the person who signs the card

NOTE: Credit cards attract a .29c transaction fee plus a 1.4% merchant fee. Please select your card type to add this fee to your total.
Cards are not automatically charged when you submit this form. Cards are processed within 5 working days of submission.

GRAND TOTAL

Accommodation

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 24 June 2016. All cancellations or amendments must be made in writing to Conference Co-ordinators and will be acknowledged by facsimile.

All accommodation bookings must be accompainied by a credit card in order to secure your reservation. The credit card will be not charged unless you fail to give 21 days notice in writing of your cancellation. You are required to pay for your full accommodation account and any incidental expenses incured during your stay when checking out of the hotel.

If you wish for the hotel to settle the account with a credit card of which the delegate is not a signatory, you must provide written authority to the hotel to do so. Please download the credit card authority autorisation form here, and send it to conference@confco.com.au when you have registered.

Mercure Canberra (Olims) Hotel Information

Not Required

Superior Room

$239 per night

Single Twin Double

Deluxe Loft Room

$239 per night

Single N/A Twin Double

Avenue Hotel Hotel Information

Hotel Room

$255 per night

Single Twin Double

Mantra on Northbourne Hotel Information

Hotel Room

$219 per night

Single Twin Double

1 Bedroom Apartment

$259 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 at the time of departure. 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 at the time of departure.

Please use the following credit card to guarantee my room

MasterCard VISA American Express Card Number

Card Signatories Name 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 terms and conditions

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 awm@confco.com.au

ACTING AGENT: CONFERENCE CO-ORDINATORS
Trading: TUGGERANONG ACT 2905

CONFERENCE CLIENT: AUSTRALIAN WAR MEMORIAL
ABN: 64 909 221 257