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          Australasian Symposium on Information Visualisation

          (InVis.au)

                   Adelaide, South Australia

                  Feb 3rd and 4th, 2003

Home Program Author information Registration Venue Organisation Accommodation Local information

 

 

 

Surname: ______________________   First Name: ________________________

Preferred Name (for Badge): _________________________________________

Title: ______________________________________________________________

Institution: _________________________________________________________

Street: ____________________________________________________________

City: _________________  State: ________  Postcode: ______

Country: ___________________________________

Daytime Phone: _____________________  

Email: _____________________________________

Payment details:

In order to confirm your conference registration and dinner, we require your credit card details as listed below. All rates are quoted in Australian Dollars and are GST inclusive. If you are paying by cheque, please forward it with a copy of your registration form to the address as noted below. The registration fee includes the conference dinner (Monday evening) and a copy of the proceedings. A discount of 15% applies for early registration received prior to January 15th.         

    Student fee:   $110.50 (early registration) or $ 130.00

   Full fee:          $144.50 (early registration) or $170.00 

        Fee:              $_________

Please debit my credit card with the following amount:       $_______

Card type:     VISA    MASTERCARD    BANKCARD        Expiry date: __________

 

__  __  __  __     __  __  __  __     __  __  __  __    __  __  __  __

    

Cardholders name:      _______________________  

 

Cardholders signature: _______________________

 

Please fax your registration details for each person to the address below:

 

Invis.au Conference Registration

Jean Radice

University of South Australia

Mawson lakes Campus, GP Building

MAWSON LAKES SA 5095, ADELAIDE, AUSTRALIA

Phone: +61 8 8302 5110   Fax: +61 8 8302 3988   Email: jean.radice@unisa.edu.au

ABN 37 191 313 308

 

 

 

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This page is http://www.cis.unisa.edu.au:80/invis.au/registration.htm . Last update: 12 December 2002.