2006 CONFERENCE REGISTRATION FORM

Title: ______ First Name: ___________________ Surname: ________________________
Name for Badge: _____________________________________
School/Organisation :_ _________________________________________________________
Address for Correspondence :_ ___________________________________________________
City____________________________ _ State : _______________ P/Code: _____________
Tel: ____________________________ _ Email : ____________________________________
Dietry /Special Requirements :_ _______________________________________

Registration Fees:
3 day Conference □ $250 ( AWE members) □ $290 (non-members)
Daily registration □ $100 Day/s attending: _____________________________________
Full Time Student □ $90 Daily □ $30   Student ID No:___________________________
Conference Dinner (optional) □ $50

Total payment enclosed $___________   □ cheque   □ credit card
Card Type: □ Visa   □ Bankcard   □ Mastercard
Card No._____________________________   Amount: $__________________  
Name on Card :_ _______________________   Expiry Date: ________________



Signature: ____________________________

Registrations due by Thursday , 14 September 2006 . Registrations received after this date incur a $50.00 late fee for AWE members and non members. Students exempt.

Payments to be made in full upon registration. Cheques payable to Assocation of Women Educators.
POST TO :  
Association of Women Educators
P O Box 229 , SANDGATE QLD 4017

Fax No : 07 3869 3436
Telephone: 07 3869 3433

Email : awe1@bigpond.net.au

ABN: 24 716 975 369