Registration Form

Print out this form, complete it, and mail or fax it to Ms. Lillian Cheung, Department of Geomatics, The University of Melbourne.

Refer to Registration Information for complete conference descriptions and price information.

Mail or fax this form with payment to:

Ms. Lillian Cheung,
Department of Geomatics,
The University of Melbourne,
Parkville VIC 3052,
Australia.

Phone: +61 3 9344 4431
Fax to: +61 3 9347 4128
E-mail [email protected]

Registration Fees

AUD $400 for early registrations (before 30 June 1999)
AUD $450 for late registrations (after 30 June 1999)

Note: Fees increase AUD $50 after 30 June 1999

Total Registration Fees

Total Amount Enclosed - AUD$ __________________

Check Number/Bank Name: . . . . . . . . . . . . . . . . . . . . . . .

Note: Payments must be in Australian Dollars equivalent.
Cheques are payable to "Department of Geomatics, The University of Melbourne, UN Conference".

Registrant

Note: Please type or print in capital letters

Family/Last/Given Name: . . . . . . . . . . . . . . . . . . . . . . . . . .

First Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Organisation Title:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Organisation/Company Name: . . . . . . . . . . . . . . . . . . . . .

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Mailing/Street Address: . . . . . . . . . . . . . . . . . . . . . . . . . . .

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City: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

State/Province: (if applicable) . . . . . . . . . . . . . . . . . . . . . .

Zip/Postal Code: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Country: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Telephone Number: (Include country code). . . . . . . . . . . .

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Fax Number: (Include country code) . . . . . . . . . . . . . . . . .

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E-mail address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Do You Wish to Attend the Optional LAND VICTORIA visit?

Yes No

Authorised by: Francisco Escobar
Created: June 2 1998
Last Modified: January 15, 1999.
Please contact Francisco Escobar of the University of Melbourne if you have queries about this page.
Copyright © 1998-1999, The University of Melbourne.