MAAOE 4th International Conference on
Organisational Excellence Monday
20, Tuesday 21 and Wednesday 22 October 2003 Melbourne, Victoria, Australia Theme: Excellence in the Face of Crisis Participant Registration Form |
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Please this application together with payment as indicated
below by one of these three options: |
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1.
by post: INTERGON PO Box 2013 South Melbourne, Vic, 3205 Australia |
2. by fax: 61+3+9925-1655 3. by email: lboxer@hotmail.com |
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Please complete entire form in BLOCK LETTERS except
where noted |
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Salutation: |
First Name: |
Last Name: |
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Title: |
Phone Number: |
Fax Number: |
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Organisation: |
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Postal Address: |
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Post Code: |
Country: |
Email (be case specific): |
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Conference Fees Includes: |
Non-Academic Fee (select) |
Full |
Prior to 9 May Early Bird |
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Proceedings of entire
conference |
r Full
Conference |
$1200 |
$1080 |
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Lunches and conference
dinner |
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Australian Goods and
Service Tax (GST) |
Academic
Fee (select) |
$950 |
$855 |
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Notes: |
r Full
Conference |
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·
All amounts in
Australian dollars (AUD) |
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15% will be retained
for any refunds |
r MAAOE
Membership |
$50 |
- - - - |
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·
No refunds after 12
Sep 03 |
r |
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·
Students may apply for
scholarships |
r Guest
dinner Mon 20 Oct |
$100 |
$90 |
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Fee payable to “Intergon ‘ for MAAOE 20-22 Oct 2003 (pay
by): 4.68%
Credit Card Processing Fee: r Cheque
in AUD (cheque must accompany this form by post) Total: r Credit
Card (check: r Visa r Master Card or
r Bankcard) -
Credit Card Number:
___________________________________________________ -
Name on Card:
______________________________________
Exp: _____ / _____ There may be some delay in processing your fee. |
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Signature:
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NOTES: |
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Event |
Participating |
Note Your Special Dietary Requirements (r if used back of page) |
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Lunches |
r Yes r No |
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Monday Dinner |
r Yes r No |
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