X hits on this document

59 views

0 shares

0 downloads

0 comments

13 / 13

11th

International Cities, Town Centres & Communities Society Conference

Opal Cove Convention Centre, Coffs Harbour ~ 12-15 October 2010

REGISTRATION FORM – ICTC2010

ABN 45 175 717 285

Please complete and return this form along with your full payment to ICTC Society, PO Box 6127, Mitchelton Qld 4053 Australia Phone: +61 7 3550 3100 Fax: +61 7 3550 3150 Email ictc@ictcsociety.org

Personal Details please print clearly.

5. Accommodation

Title:

Surname:

Given Name: Organisation: Position: Postal Address: Suburb: Country: Ph:

Fax:

State: Post Code:

Please indicate your 1st and 2nd preference by writing 1 and 2 next to the preferred room type. Credit Card details will be forwarded to your chosen hotel. Prices are per

room per night.

Opal Cove Resort Resort rooms include daily service and breakfast

___ A01 Resort Room (queen or twin)(incl 1 b’fast) ___ A01 Resort Room (queen or twin)(incl 2 b’fasts) ___ A02 Junior Suite (king only)(incl 1 b’fast) ___ A02 Junior Suite (king only)(incl 2 b’fasts)

$140 $150 $240 $250

Villas & apartments below are minimum 2 night stay and unserviced

E-mail: Please print clearly as confirmation of receipt will be sent via email

___

A03 2br Villa

___

A04 3br Villa

$240 per night room only $298 per night room only

___

A05 4br Ocean Front Apartment

$450 per night room only

Preferred Name on Badge Dietary/Special Requirements

  • #

    BreakFree Aanuka Beach Resort (rooms are unserviced, but this is available

upon request. Aanuka wil provide a cost sheet upon check-in)

Please indicate by ü the boxes below if you:

DO NOT wish to be included on the conference delegate list.The delegate list will be given to all participants at ICTC2010 and includes your name and organisation only.

Are a member of the ICTC Society

___ ___ ___ ___

A07 Studio Room (king or twin) A08 1br spa bure (king or twin) A09 2 br villa (king + king/twin) A10 3 br apt (king + king/twin+ twin)

$139 room only $174 room only $277 room only $335 room only

Early Bird

Mid Rate

Late Rate

By 30/7/10

By 10/9/10

After 10/9/10

1. Registration Fees Please tick appropriate boxes below Payment must be received by 5pm on 30th July, 2010 to qualify for early bird Rate and by

5pm 10 September, 2010 to qualify for mid rate.

$695

*Speaker Registration *Only one presenter per paper

R01

R02

$895

R03

$995

R04

$1095

R05

$995

R06

$1095

R07

$1195

R08

$495

R09

$545

R10

$595

R11

$495

R12

$545

R13

$595

Full Registration (Member) Full Registration (Non-Member) Wednesday Day Registration Thursday Day Registration

Total: $

__________________

2. Networking Functions Opal Cove Networking Function – Wednesday 13 October (Inclusive for full conference

No

registrations only) Please indicate ü if you will be attending

Yes

Extra Tickets: $45.00 per person (includes canapés and beverages) No of tickets _______ @ $45.00 Name of Guest(s)

$

BBQ Networking Function – Thursday 14 October (Inclusive for full registrations only)

  • #

    Breakfast rate for conference delegates is $22.50 per person, per day

ü Please indicate your room type

Single

Queen/king

Twin

No of persons in room:

Sharing with:

Special requests:

Arrival date: Departure date:

Arrival Time: No. of nights:

  • 6.

    Registration Payment Summary

  • 1.

    Registration

  • 2.

    Networking Functions

  • 3.

    Accommodation (if paying by cheque only)

  • 4.

    Breakfast at Anauka – $22.50 per person per day

Registration Total:

$ $ $ $ $

Credit Card Authority Registration only ü Please indicate your credit card type: Cardholder Name: Card Number: Expiry Date: Master Card *Verification number is:

Visa

Twin+

Please indicate ü if you will be attending

Yes

No

Extra Tickets: $45.00 per person (includes BBQ only beverages at own cost)

Signature:

No of tickets _______ Name of Guest(s)

@ $45.00

$

Total: $________________

3. Special Interest Groups (SIG’s) Tuesday 12 Octobe , 2010 – (Inclusive for full conference registrations only). Please indicate ü appropriate box below

SG1

Do not wish to attend any;

SG3

Transit Oriented Design; or

SG2

Business Improvement Districts; or

SG4

Place Making

Credit Card Authority for Accommodation only ü I authorise the hotel to debit my credit card for the following:-

All accommodation (excluding incidentals) All accommodation (including incidentals)

Other Amex

Diners

Master Card

Visa

  • *

    Amex & Diners incurs 3.5% charge at Opal Cove

4. Field Trips Friday 15 Octobe , 2010 – (Inclusive for full conference registrations only). Please indicate ü appropriate box below which one you wish to attend

F1 F2 F3 F4

I do not wish to attend any field trips Developing a Sense of Place – Coffs Harbour’s City Centre & Marina Precincts; or Coffs Harbour Infrastructure Program; or Development of Alternate Economic Drivers – Moving Past Tourism

Cardholder Name: Card Number: Expiry Date:

**Verification number is:

**Verification number is the last three digits on the reverse of your card in the signature section.

Signature:

13

Document info
Document views59
Page views59
Page last viewedFri Jan 20 11:04:57 UTC 2017
Pages13
Paragraphs561
Words7424

Comments