HFESA Registration Form

HFESA 2008 Registration Form & Tax Invoice

17-19, November 2008

Please complete and submit ONE form per person.
Fill in all the details in the fields below and then click REGISTER.
A link is available for credit card payments.

Privacy Statement
In addition to administering this event, unless you advise otherwise, the personal information you provide to us may be used to inform you of future events arranged by the Association and may be disclosed in the delegate list available to speakers and delegates. Please click here if you do not want your details included.

PLEASE NOTE ALL AMOUNTS ARE QUOTED IN AUSTRALIAN DOLLARS AND ARE INCLUSIVE OF GST

SECTION A: Contact Details required fields*
*Surname
*Given Name	Title
Postal Address
*City/Town	State Postcode Country
Tel: (work)	Tel: (home) Fax:
*Email
Please note any special dietary, medical or other requirements
SECTION B: Accommodation click here for options
Please reserve me a room
Hotel -
Arrival date (check in after 14:00) Please show as dd/mm/yyyy
Departure date (check out before 10:00) Please show as dd/mm/yyyy
A deposit of 1 night's tariff is required to secure your reservation.

SECTION C: Conference Registration Fees
The registration cost includes the Welcome Reception, daily* lunch and morning & afternoon coffee/tea and access to all symposia and concurrent sessions and the conference gala dinner*
Registration deadline 1 August, 2008

Member prior 29 August 2008	$550
Member after 29 August 2008	$660
Non-member prior 29 August 2008	$770
Non-member after 29 August 2008	$880
Student full-time & concession	$395
Day registration	$330
(A cancellation fee of $50 will apply to any registration cancelled before 31 August, 2008. Please note no refund will be given should you elect to cancel after 1 September, 2008)
Name for lapel badge
Section D: Gala dinner - One ticket is included in registration fee.
The conference dinner will be held on Tuesday 18 November.
Number of extra dinner tickets @ $99 each	= $
SECTION E: Payment
Section B: Accommodation Deposit		$
Section C: Conference Registration Fees		$
Section D: Banquet tickets		$
*TOTAL:		$
Any comments you wish to add:

After you click REGISTER a page will appear with options for payment by credit card. You can pay online using our secure facility or download a form and fax the details to us.

International delegates wishing to pay by cheque must provide an international bank draft, in Australian Dollars and drawn on an Australian Bank and Branch. Cheques should be made payable to Sapro Conferences.

Confirmation of your registration will be sent to you, once your payment has been processed.

If you would prefer to mail your registration, print this form and post it to -
HFESA Conference Secretariat, PO Box 187, TORRENSVILLE. SOUTH AUSTRALIA 5031
T: +61 8 8352 7099 F: +61 8 8352 7088

If you have any questions regarding registrations please contact us. E: hfesa2008@sapro.com.au