ABN: 46 253 211 955
Challenges in Environmental Science
 and Engineering, CESE-2010   

                                                 26th September to 1st October

                                                 The SEBEL, Cairns, Australia

   

 

REGISTRATION FORM

 

Title:  Mr       Mrs               Ms                 Dr                  Prof               Others    

 


First Name: ______________________________________ Last Name: ______________________________________

Preferred Name on Badge: _________________________________________________________________________

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Day Time Phone: _____________________________ Mobile: _____________________________________________

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Any Special Requirements (e.g. diet or physical access): _____________________________________________

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If you are presenter (oral/poster or both) please include the reference (or title) of your presentation(s)

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PAYMENT

 

        I endorse a cheque/ money order for $ ____________ made out to “James Cook University

        Please debit my credit card for the amount of $ _____________

        Master Card                Visa

 

Credit Card Number:  ___________________________________Expiry Date: _______/______

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Please return this completed form with payment by email to:

Dr. Li Shu or A/Professor Jega V Jegatheesan, School of Engineering and Physical Sciences, James Cook University, Townsville,

QLD 4811, Australia

Or fax to: +61 7 4781 6788 Attention to Dr. Li Shu or A/Professor Jega V Jegatheesan

 

Enquiries to li.shu@jcu.edu.au or jega.jegatheesan@jcu.edu.au

 

This document will be a tax invoice for GST when fully completed and you make a payment

 

REGISTRATION FEES (GST included)

Registration fee (Before June 30, 2010)

Regular fee for participants            AUD$ 990.00

Students* & Retirees                           AUD$ 660.00

*Letter from the University is required

 

Registration fee (After June 30, 2010)

Fee for participants                           AUD$ 1100.00

Students* & Retirees                           AUD$   770.00

*Letter from the University is required