REGISTRATION
Please return form and payment to:
Enquiries and phone registration:
ASSOCIATIONS
FORUM
Adelaide Convention Centre, South Australia
Tuesday 14 - Wednesday 15 July, 2015
NATIONAL CONFERENCE
Associations Forum Pty Ltd
Post: PO Box 810, Artarmon NSW 1570 Fax: 61 2 9411 8585 Email: [email protected]
Tel: 61 2 9904 8200
REGISTRATION NOTE: Please fill out one registration form per delegate and return registration form only to Associations Forum Pty Ltd or register online at afnc.associations.net.au
ACCOMMODATION NOTE: Please turn over for an accommodation booking form or visit https://ep.ozaccom.com.au/public/AFN15/accommodation.aspx to book accommodation online.
GROUP BOOKING OFFER: Register two delegates from the same organisation to attend the conference and receive a third delegate registration for free! (Applies to NFPs only).
PERSONAL DETAILS
Title
Name
Position
Organisation
Phone
Fax
Mobile
State
Postcode
Address for Correspondence
Town/Suburb
Email
Twitter Handle
CONFERENCE REGISTRATION (AUD)
Not-for-profit member of Associations Forum
Not-for-profit non-member
3rd Delegate – FREE (Applies to not-for-profits only)
Non-exhibiting supplier
International NFPs (NFPs based outside of Australia)
Until 29 May 2015
After 29 May 2015
■
■
■
■
■
$880
■
■
■
■
■
■
■
■
South Australian Health & Medical Research Institute Optional Tour (Mon 13 July)
$1320
$0
$2200
$880
$990
$1430
$0
$2420
TOTAL $
$990
CONFERENCE EVENTS (INCLUDED IN REGISTRATION)
Please tick if you will be attending the following
■
■
■
Adelaide Oval Optional Tour (Mon 13 July)
First Timers and Solo Attendees’ Session (Mon 13 July)
Welcome Drinks (Mon 13 July)
■
Extra guest ticket @ $65
CEO Breakfast (Tue 14 July)
Conference Dinner (Tue 14 July)
■
Extra guest ticket @ $165
TOTAL $
DIETARY REQUIREMENTS
Please specify if you have any special meal requirements (including any of guest)
ASSOCIATIONS FORUM MEMBERSHIP
My organisation is a Member of Associations Forum
My NFP organisation wishes to join Associations Forum
My NFP organisation does not wish to join Associations Forum at this stage
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■
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ANNUAL MEMBERSHIP RATES AND CATEGORIES FOR NEW MEMBERS:
Bronze Membership
Silver Membership
Gold Membership
■
■
■
$660
$1320
TOTAL $
$2640
PAYMENT SECTION
GRAND TOTAL: REGISTRATION + OPTIONAL EXTRAS + NEW MEMBERSHIP
■
TOTAL $
Please invoice
I wish to pay by
■ cheque in AUD payable to Associations Forum Pty Ltd or ■ Visa ■ MasterCard ■ AmEx ■ Diners ■ Electronic Funds Transfer (We will supply details)
#
Card No
#
CCV
Name of Cardholder
Expiry Date
/
Signature
All prices indicated are in AUD and include GST. Tax invoice will be supplied Associations Forum Pty Ltd ABN 53 105 365 160. # Please note: AmEx and Diners incur a 4% surcharge.
TERMS AND CONDITIONS
Payment Terms: Invoices have a payment term of 14 days from the date of issue. All registration fees must be settled prior to the event.
Refunds and Cancellations: A full refund will be provided for all conference cancellation received in writing prior to close of business Friday 19 June 2015. A 50% refund will be provided for all conference cancellations received in
writing prior to close of business Friday 26 June 2015. No refunds will be granted for any cancellations received after close of business Friday 26 June 2015. Substitutes are allowed at any time.
Program Amendments: Although every effort will be made to keep presentations as represented, Associations Forum Pty Ltd reserves the right to make any necessary changes to the program. For a full list of term and conditions,
please visit afnc.associations.net.au/register/
You can also register and book your accommodation online at afnc.associations.net.au
ACCOMMODATION
Ozaccom+ combines traditional management techniques coupled with innovative technology to assist in managing your events. You can select any of
the services you require from: Accommodation Management I Air Travel Management (Domestic/International) I Conference Registration Management
Professional Conference Management I Venue Finding Service I Corporate Travel Management I Pre/Post Event & Study Tours
Please return form and payment to:
Enquiries and phone bookings:
Ozaccom+
Post: PO Box 104, RBH Post Office QLD 4029 Fax: 61 7 3854 1507 Email: [email protected]
Toll Free within Australia: 1800 814 611 Tel: 61 7 3854 1611
ACCOMMODATION
PROPERTY
DISTANCE TO VENUE
ROOM TYPE
ROOM RATE
Intercontinental Adelaide ✯✯✯✯✯
2 minute walk to conference venue
King Superior Room
$210
Playford Adelaide ✯✯✯✯✯
2 minute walk to conference venue
Standard Guest Room
$165
Oaks Horizons ✯✯✯✯✯■
2 minute walk to conference venue
1 Bedroom Apartment
1 Bedroom Riverview Apartment
2 Bedroom Apartment
$169
$189
$209
Mercure Grosvenor Adelaide ✯✯✯✯
2 minute walk to conference venue
Standard Room
$139
Ibis Styles Adelaide Grosvenor Hotel ✯✯✯
2 minute walk to conference venue
Classic Room
$109
Stamford Plaza Adelaide ✯✯✯✯✯
4 minute walk to conference venue
Superior Room
$155
FOR ADDITIONAL AND/OR ALTERNATIVE RATES OF THE DAY, PLEASE VISIT https://ep.ozaccom.com.au/public/AFN15/accommodation.aspx
DELEGATE DETAILS
Title
Name
Organisation
Address for Correspondence
Town/Suburb
Email
Phone
State
Postcode
Fax
Mobile
Hotel Preference
Second Hotel Preference
Room Type
Sharing with
Arrival Date
ETA
Departure Date
Special Requirements/Requests
DEPOSIT DETAILS To secure and confirm your accommodation, credit card details are required as a guarantee. These details will be passed on to the hotel and it is at the hotel’s discretion as to whether a deposit will be charged prior to
arrival. An imprint will be required upon check in and your full account is to be settled with the hotel on departure. NB No monies will be debited from your credit card by Ozaccom+ for accommodation. Alternatively, a deposit of one night’s
accommodation by cheque is acceptable. Cheque payments should be made payable to Ozaccom+. International delegates must provide an international bank draft, in Australian Dollars and drawn on an Australian Bank and Branch.
TOTAL $
PAYMENT GUARANTEE
I wish to pay by
■ cheque in $A payable to Ozaccom Pty Ltd or ■ Visa ■ MasterCard ■ AmEx ■ Diners
Card No
Name of Cardholder
CCV
Expiry Date
/
Signature
TERMS AND CONDITIONS
All accommodation rates are listed in Australian dollars and are valid only if booked through Ozaccom+. Rates include GST and are quoted on a per room per night basis. Rates and all information are current at time of printing and are
subject to change without prior notification. Written confirmation will be advised by email - if no email address supplied, a confirmation letter will be forwarded by post. Accommodation Tax Invoices will be issued by your chosen hotel.
Bookings made within 30 days of your check-in date may be subject to further terms & conditions. Cancellations made within 7 business days prior to arrival will incur a penalty and it is at the hotel’s discretion as to the cancellation
penalty charged. All cancellations must be made in writing to Ozaccom+.