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Warning: Please do not send credit card details by email. This remains an inherently insecure means of communications. Please Fax or mail your registration form.
Last modified Fri Oct 6 12:27:32 1995
Registrant Details:
Title:____ Name: _____________________________
Address:_________________________________________
_________________________________________
_________________________________________
Phone:_________________________________________
Phone:_________________ Fax: __________________
EMail:_________________________________________
Registration Rates
Full Rate A$490 A$____
Student Rate A$250 A$____
One Day Rate A$250 A$____
Tutorials (Conference Registration Not Required)
(rates in brackets apply only for three or more tutorials
or three or more registrations)
Number: ___ A$375 (A$250) A$____
Number: ___ A$375 (A$250) A$____
Number: ___ A$375 (A$250) A$____
Number: ___ A$375 (A$250) A$____
Workshops
(Rates in brackets apply to AI95 registrants):
Number: ___ A$150 (A$75) A$____
Number: ___ A$150 (A$75) A$____
Conference Dinner:
Number attending: ___ x A$45 A$____
TOTAL A$____
(W8 is sponsored by DSTO. There is no fee.)
Payment Details:
Name: _________________________________________
[ ] I enclose a cheque/money order for A$____
[ ] I authorise the payment of A$____ on my
[ ] Mastercard [ ] Visa [ ] Bankcard
Card number: ______________________________
Expiry Date: ______________________________
Signature: ______________________________
Date: ______________________________
(Cheques and Money Orders payable to AI95)
Dr Bob McKay, Chair, AI95 Organising Committe
Department of Computer Science
University College, UNSW
Australian Defence Force Academy
Canberra, ACT 2600
Australia
Fax: (+61 6) 268 8581