DELEGATE REGISTRATION FORM 1 form per person

Similar documents
EXHIBITOR STAFF REGISTRATION FORM 1 form per person

DELEGATE REGISTRATION FORM 1 form per person

World Water Congress & Exhibition 2018

Accommodation Proposal for 2015

World Water Congress & Exhibition 2018

48 TH INTERNATIONAL REINSURANCE STUDY COURSE ( RiSC ): REINSURANCE IN PRACTICE YEAR

ADR. Conference Paradigm Shift in Asian Dispute Resolution Impacts to Arbitration and Mediation Four Seasons Hotel Hong Kong

Large Groups & Services

2017 BALI TAX RETREAT OCTOBER RENAISSANCE BALI ULUWATU RESORT & SPA

Financial Services Internal Audit Forum. Thursday, 21 November 2013 Sheraton on the Park Hotel 161 Elizabeth St, Sydney.

Registration Form & Sponsorship Application

SPONSORSHIP BOOKING FORM

discretion of Voyages and may incur higher transaction fees. Payment by EFTPOS or cash does not attract a transaction fee.

Australian Rare Lung Disease Short Course 2017 Registration Form

travelteam.com.au. Cairns Getaway

ADR. Conference Paradigm Shift in Asian Dispute Resolution Impacts to Arbitration and Mediation Four Seasons Hotel Hong Kong

PUBLIC ACCESS WORKSHOP - REGISTRATION FORM (Sydney) Fill in Your Company s General Contact Details

PUBLIC ACCESS WORKSHOP - REGISTRATION FORM (Melbourne) Fill in Your Company s General Contact Details

Best Available Rate means the best rate available on any given day for a particular Property.

Registration Form August, 2017 Kuala Lumpur Convention Centre, MALAYSIA A. DELEGATE DETAILS. Prof Assoc. Prof Dr Mr Mrs Ms.

Tax Retreat Thursday 21 - Friday 22 April 2016 Spicers Hidden Vale, Grandchester

REGISTRATION FORM SIDRA INTERSECTION WORKSHOPS SYDNEY, SEPTEMBER Your Details. REGISTRATION FORM #TA073 Page 1 of 5

FORM TO BE COMPLETED BY ALL DELEGATES AND GUESTS, SPOUSES, TRAVELING COMPANIONS OR PARTNERS OF ATTENDEES

Destination NSW Japan Mission 2014 PROSPECTUS

LUXPERIENCE 2017 BUYER TERMS AND CONDITIONS

REGISTRATION FORM BORNEO DENTAL CONFERENCE, th September 3 rd October 2015 Step 1. Attendee Details

Greater China Roadshow PROSPECTUS. Shanghai

Do you want to come to India with me this year? Just to let you know, there are a few spaces available

Sponsorship Proposal

Associations World Congress. Deadline for registration Friday, 26 January 2018

ASIAN CLAIMS CONVENTION APRIL GRAND HYATT NUSA DUA, BALI THE SHIFTING LANDSCAPE OF INSURANCE AND CLAIMS

Application For Credit

COMPULSORY THIRD PARTY SEMINAR THURSDAY, 23 MARCH 2017 REGISTRATION BROCHURE

ASIAN CLAIMS CONVENTION APRIL 2016

4-5 October 2016 Hyatt, Canberra. 6 CIP Points Available SPONSORS GOLD SILVER SUPPORT CONFERENCE DINNER CLOSING RECEPTION

YOUR QUOTE SUMMARY Dubai International Academy

ISA Conference Champagne Sports Resort, KZN, South Africa 8-10 March 2009 REGISTRATION PACK

International Centre for Family Law Policy and Practice Conference

Terms & Conditions Conference Registration

Compliance: Making Sense of the Details. 17th Annual

Royal Agricultural Society of WA BREED LINES AND GOLDEN OLDIES CAT SHOW

Terms & Conditions. Conference Registration

CATERING MENU SELECTIONS CATERING TERMS AND CONDITIONS

SCHOOL TOUR INFORMATION PACKAGE AND BOOKING FORM

LEMANIA SUMMER CAMP APPLICATION FORM SWITZERLAND

2017/2018 RISK MANAGEMENT PROGRAMME

Registration Form INSOL India Annual Conference 2018

Blue Zone Yoga. Paros, Greece Sept 30 Oct 7, 2018

General Conference + Registration Info

"Why are you Mrs Brown s biggest fan?

Registration Form Pilgrimage 2017

LUXPERIENCE 2016 BUYER DELEGATE TERMS AND CONDITIONS

Royal Agricultural Society of Western Australia BEEF CATTLE

University Financial & Resources Planning

Policy Officers Intensive

INSERT FARM NAME HERE

Tradeshow Exhibitor Agreement

PROGRAM. aila.com.au. Friday 31 August The Australian Insurance Law Association Presents

DEADLINE FOR RECEIPT OF FORM: 30 th December 2017 HOTEL BOOKING FORM. Accommodation Requirement. Please tick your hotel and room type.

ACPET WA Private Providers Forum 2015

THE MISSISSIPPI ASSOCIATION OF CHIEFS OF POLICE 2018 SUMMER EDUCATIONAL CONFERENCE & TRADESHOW

COURSE INFORMATION SHEET

Financial Mathematics

travelteam.com.au. Sydney Vivid Festival Tour

SECTION 1: Choose your plan

Application for registration of a Limited Partnership Limited Partnerships Act 2008

Accommodation required YES/NO: (please contact reservations for further details or

Confirmation of Booking

CITY OF WINNIPEG ACCOMMODATION TAX INFORMATION CIRCULAR: OVERVIEW OF THE ACCOMMODATION TAX

Introductions & Overview Topics & Content Covered. Questions

CONTRACT SKILLS WORKSHOP

Young Adult Membership Application Form

MOROCCO DESIGN TOUR 06 to 16 MAY 2013

MARKETPLACE PROSPECTUS

TREASURER Revised June Receive, deposit, disburse, record, and report all financial actions resulting

Winter Parking Pass Application Form

Network TEN. Maze Runner Competition. Terms and Conditions

TERMS & CONDITIONS LEISURE TRAVEL

Credit card holder travel insurance claim form

THE VIP EXPERIENCE FA MILY V IP TA BLE S & V IP ROOM

Terms and Conditions Ski & Wellness Experience

Dove House Hospice Trek Vietnam 27 th April 7 th May 2019

Swahili Safari Adventure

Ceylon Express International

The Taxpayer Burger & Booze Bar

Exchange Plus PROGRAM GUIDE

Product Name: Standard Product Plus (available only through online channel)

"What makes you wild about the U.S?

Countdown to 30 June Get set for the end of financial year. Our guide to processing cut-off times.

USA NBA TOUR. Booking Form February/March Tour 2019 TOUR 18 DAYS, 8 GAMES AND UNIQUE EXPERIENCES ALONG THE WAY!

Payments & Reassessments Schedule TIMING* HOW MUCH WITHIN 14 DAYS FROM TIME OF BOOKING DEPOSIT DUE

EMPLOYEE INFORMATION BOOKLET

(aged 13-17) Tarragona. Starting Dates. Course fee. Enrolments. Insurance

Why is the nominee a Digital Star of the future?

CHANNEL SEVEN SUNRISE BOHEMIAN RHAPSODY PROMOTION TERMS AND CONDITIONS

London Fashion Week Corporate Hospitality Booking Form 20 th 24 th February 2009

2017 LIQUI-MOLY BATHURST 12 HOUR MERCHANDISE SITE BOOKING AND INFORMATION FORM. Friday 3 February Sunday 5 February Mount Panorama, Bathurst

Passenger Tour Booking Form

Agent Terms and Booking Conditions

ABN (Address) (Suburb, Post Code)

Transcription:

Please complete and return this form to the congress managers: International Council on Archives Congress C/- MCI Australia 6 Allison Street, Bowen Hills QLD 4006 Or fax to +61 7 3858 5499 Or register online at www.ica2012.com Deadlines: Early bird registration: 15 April 2012 Accommodation bookings: 13 July 2012 Congress enquiries: T: +61 7 3858 5534 F: +61 7 3858 5499 E: registrations@ica2012.com W: www.ica2012.com 1. PERSONAL DETAILS Title (e.g. Prof/Dr/Mr/Mrs/Miss/Ms) Family name Given name Name to appear on name badge Organisation Position Postal address Suburb/town Country Telephone (work) Telephone (mobile) 2. REGISTRATION FEES State Postcode Fax Email Please ( ) tick the appropriate box Earlybird (on or before 15 April 2012) Standard (on or before 15 July 2012) Late / on-site (on or after 16 July 2012) Sub total $ Fulltime member AUD850 AUD1,100 AUD1,350 Fulltime non-member AUD1,150 AUD1,250 AUD1,450 Fulltime student AUD600 AUD700 0 Day member* AUD450 0 AUD550 Day non-member* AUD550 AUD600 AUD700 Day student* AUD300 AUD400 0 *Please indicate which day you are attending: Tuesday Wednesday Thursday ** Late/onsite registration refers to those delegates who register on or after 16 July 2012, or those who pay to register upon arrival at the congress. Congress materials cannot be guaranteed for late/onsite registrants. *** Students must verify that they are a fulltime tertiary student by forwarding a photocopy of their student id to the congress manager. 3. SPECIAL REQUIREMENTS Please note any specific dietary, wheelchair access or other requirements for you and your guests: Delegate: Vegetarian Vegan Gluten free Lactose free Kosher* Halal* Other allergies:. Your guest: Name:... Vegetarian Vegan Gluten free Lactose free Kosher* Halal* Other allergies:. * Please note that Kosher and Halal meals may incur additional charges. **Please contact the congress managers to discuss other dietary requirements and specifics of allergies. Wheelchair access Other requirement:..

4. ON-SITE EMERGENCY INFORMATION Where are you staying during the event (for example, name of hotel, with a family member, at home):.. In case of an emergency: Name of person to contact. Phone (include appropriate country, city, and area codes). Relationship to you:.... 5. ACTIVITIES Costs are included in registration fees as indicated below. Additional may be purchased at an additional cost. Please refer to the website for your entitlements. For catering purposes it is essential you mark the appropriate attendance box for every activity. Please tick ( ) the appropriate box. Fulltime delegate Day delegate Please Guest Please Total no. guest Sub total $ Welcome reception (Monday 20 August 2012) Included included No AUD85 No Professional visit (Friday 24 August 2012) Included included Tour 1 Tour 2 Neither 6. WORKSHOPS: MONDAY WORKSHOPS: 20 August 2012 Please note the full day workshops and half days workshops run at the same time. Duration Name Delegate Please Sub total $ Full day Expect the Unexpected: Disaster Preparedness designed for archival institutions Keeping Archives: Appraisal the Australian way Keeping Archives: Approaches to Arrangement and Description Keeping Archives: Digital Recordkeeping (Best Practice) PARBICA Recordkeeping for Good Governance Toolkit Morning (half day) Implementing AtoM Preserving sound recordings using digital reformatting Engaging Communities Afternoon (half day) Demystifying the standards landscape Keeping Archives: Digital Recordkeeping on a limited budget Universal Declaration on Archives

FRIDAY WORKSHOPS: 24 August 2012 Please note the full day workshops and half days workshops run at the same time. Duration Name Delegate Please Sub total $ Full day Keeping Archives: Archival Digitisation (Advanced) Australasian approaches to digital preservation Australasian Digital Recordkeeping Initiative (ADRI) Audiovisual preservation: practical approaches across film, video and sound formats Archives, Web 2.0 and beyond Morning (half day) Keeping Archives: Archival Digitisation (Medium) Implementing ICA Req Module 2 (Electronic document and records management systems) UNESCO Memory of the World Program Afternoon (half day) Implementing ICA Req Module 3 (Electronic document and records management systems) Describing Archives in Context an introduction to the Australian series system Japanese Paper Conservation Technique Advanced AtoM *Please note you must register for the congress in order to attend the workshops. *Please note workshops may be cancelled if minimum required numbers are not reached.

7. ACCOMMODATION (see the registration brochure or website for details) Accommodation cannot be booked unless credit card details are received with the registration form. Your credit card details will be passed on to the hotel to secure your booking. The hotel may immediately deduct payment from your credit card although full payment is usually reserved for check-out. If charges are the responsibility of a third party, please provide a letter from the third party stating what charges are to be covered, e.g. accommodation only, mini bar, all charges, etc. Hotels may levy a surcharge on credit card payments. A tax invoice for accommodation will be issued by the hotel on check-out. New accommodation bookings will not be accepted by MCI Australia after 13 July 2012. From this time, bookings should be made directly with the hotel or via an accommodation reservation website. Please book the following accommodation: Check-in../../12 Estimated time of arrival... Check-out../../12 Venue Room type Rate per room per night Sofitel Brisbane Luxury king AUD345 Superior king twin AUD285 Mantra South Bank ½ & Estimated time of departure Two bedroom apartment One bedroom city view apartment One bedroom apartment Studio room city view Studio room AUD466 AUD325 AUD315 AUD289 AUD266 Rydges South Bank ½ Superior room queen twin AUD309 Queen room queen AUD279 The Sebel & Citigate King George Square Brisbane ½ & Sebel rooms queen AUD235 Citigate rooms queen twin AUD215 Mecure Brisbane Standard room queen twin AUD210 Hotel Ibis Brisbane ½ Standard room queen twin AUD190 Hotel George Williams ½ Standard room double AUD145 Twin room twin AUD145 I would prefer a non-smoking room yes no Other requirements (e.g. rollaway bed, cot): I will be accompanied by/have arranged to share with:

8. PAYMENT METHOD Payment must accompany your registration form. Congress registration cannot be confirmed until payment is received. All prices are quoted in Australian dollars and include GST. Cheque/international bank draft Cheques should be made out to MCI Australia Pty Ltd. Payment must be made in Australian dollars payable to an Australian bank and free of all charges. Electronic funds transfer (EFT) Please ensure the amount transferred is equal to the total due INCLUDING any bank charges. To assist in the allocation of your payment, please fax transfer advice to +61 7 3858 5499 immediately after transfer to ensure prompt allocation of your funds. Please ensure your name, congress acronym ICA 2012 and invoice number are included on the transfer notice. Bank: Swift code: Account name: National Australia Bank NATAAU3302S MCI Australia Pty Ltd BSB number: 084 255 Account number: 59 650 0566 Credit card charges as per this form are to be debited to: Credit card to secure accommodation only Credit card. Charges as per this form are to be debited to: MasterCard Visa American Express Diners Club Name on card Credit card number Card holder s signature Expiry date Please note that debits to your credit card will appear as Event Planners on your credit card statement. A tax invoice will be forwarded to all delegates on receipt of a completed registration form. ABN: 76 108 781 988 9. CONDITIONS OF REGISTRATION By registering for the International Congress of Archives 2012, delegates agree to abide by the conditions set out in the registration brochure