Section A: Personal Details
DELEGATE
Prof, Dr, Mr, Mrs, Miss Family Name
Telephone ( ) Fax ( )
First Name (as you wish to appear on name badge)
Organisation
ACCOMPANYING PERSONFamily Name .. First Name
Postal Address State .. Postcode .
NB: Accommodation reservations will not be accepted after 4/6/99. (Late registrants may be accomodated at nearby hotels.)
Special Requirements (dietary, disability etc) .
Please tick required nights: [ ] Sunday [ ] Monday [ ] Tuesday
Number of people per room (Tick one) [ ] Single [ ] Twin [ ] Double [ ] Triple
I wish to share with .
[ ] Non Smoking [ ] SmokingSection C: Social Functions. (Included in the registration fee. Please advise for catering purposes if you will be attending):
[ ] Cocktail Evening July 4thMembership/Proceedings. Please tick one of the following:
[ ] As a financial member of the AAABG I will receive the proceedings| Members | Non Members | ||
| Registration plus accommodation | A$550 | A$650 | (twin share) |
| Registration plus accommodation | A$650 | A$750 | (single occupancy) |
| Registration Student members | A$300 | (twin share) |
Add A$50 for registration after 31/5/1999
Day Registration (tick relevant day) A$100/day [ ] Monday [ ] Tuesday [ ] Wednesday
Post Conference Tours Please indicate your interest
[ ] The Grange Sheep Tour and Dinner
[ ] Wool Tour
[ ] Beef Tour
[ ] Sheep Meat Tour
Cheques should be in Australian dollars, made payable to "AAABG". To pay by credit card please complete the following
[ ] Visa [ ] Mastercard [ ] Bankcard
Credit Card Number _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
Cardholders Name: Expiry Date: _ _ / _ _
Signature: Amount A$____________
| For office use only: | Reg No AAABG Amount $ | Cheque/Visa Bank | Branch A/C Name |