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Indonesia, Australia and the Region

23—24 September, 2005, Coombs Lecture Theatre, ANU

Registration Form

The conference is free of charge.

PLEASE NOTE THAT YOU MUST COMPLETE THE FORM BELOW AND SELECT A PAYMENT OR NO-PAYMENT OPTION BEFORE YOU ARE REGISTERED. You will receive a REGISTRATION IDENTIFICATION NUMBER. If you have not received this number, your registration has not been successful.

Please note also that registration for the conference and for the dinner is required by 16 September 2005.
If you register after this date you will not be included in the printed participants list. The dinner payment is required by 16 September 2005. We prefer payment by credit card online, but other options are available.

* indicates required fields

Title
*Personal Name
*Family Name
Affiliation
*Street
*City
*State
*Postcode/Zip
*Country
Telephone
Facsimile
*Email

I wish to attend the Indonesia Update 2005 on one or more of the following sessions:
Friday 23 September
Saturday 24 September

Friday night dinner (payment in advance: A$30.00 per person $25 student discount including GST):
I would like to book for people for Friday night dinner at A$30.
I would like to book for people for Friday night dinner at A$25.

Friday lunch is not provided but there will be a flyer in your conference folder listing possible lunch venues on Campus.

Saturday lunch - payment at door (Please note that all Cafes on campus are closed on Saturday):
I would like to book for people for Saturday lunch (payment at door: $10 per head; $7.50 for students)

The Australian National University is bound by the Privacy Act 1988 (Commonwealth of Australia). The ANU will not disclose personal information about you to third parties without your consent or as is allowed for under the Privacy Act. The purpose of information collected here is to organize the Indonesia Update. If you have any privacy concerns or would like to verify information about you please contact us at Indonesia.Project@anu.edu.au. Please also peruse the University's Privacy Policy
Page last updated: July 13 2006 09:25:04.
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