healthy cities banner registration 

 

To register please complete the form below with your personal detail and click on the Send Registration button at the bottom of the page.

Your details will be kept for use in managing this conference only, unless otherwise advised.
The fields in BLUE are required.

 

Section 1


Title


           

 First Name
Family Name
Badge Name (only if different from above) 
Organisation
Address Line 1
Address Line 2
Suburb/City
State       
Postal/ZIP Code
Country   
Phone     
Fax  
Mobile Phone   
E-Mail Address  please ensure address is spelt/formatted correctly
  Is this your Work Address?
Dietary Requirements
Other Requirements  wheelchair access etc
Send Correspondence E-Mail             

 

Accompanying Person Information 


You only need to complete this section if you will be purchasing additional Accompanying Person function tickets or sharing accommodation with a non-delegate.

 

Title 

  (Mr, Mrs, Ms, Dr, Prof, etc)  

First Name

Surname 

Badge Name (only if different from above) 
Dietary Requirements
Section 2 - Full Registration

Full registration includes all conference sessions, conference materials, including satchel and handbook with abstracts, morning and afternoon teas and lunch for the duration of the conference, and attendance to the Welcome Reception
Registration Type

($AUD)

  
         


The student concession registration is available for full time students in a recognised tertiary institution.

If you have chosen a student registration category please provide the name of the institution and the course you are enrolled in here

 

 

Section 3 - Study Tours - FREE to full delegate registrations

  1. Central Geelong/Waterfront, Deakin University, YAA and Botanic Gardens

  2. Bellarine Peninsula

  3. Corio and Norlane - Making a Place a 'Healthy City'

Please book your tour:

   

Amount ($AUD)

 
Section 4 - Day Registration

Day registration is available for delegates unable to attend the full conference.  It includes conference sessions for nominated day, conference materials, including handbook with abstracts, morning and afternoon teas and lunch on nominated day. The Welcome Reception is not included. Tickets can be purchased on this page for $70.00 (Section 5).

Day only

   

Amount ($AUD)

 

Section 5 - Social Programme - Welcome Reception


You can book tickets to the Welcome Reception tickets here.
The Welcome Reception is only included in full registration.  If additional tickets are required, please book here.


Please enter the number of tickets first - change if more than 1 is required

Purchase tickets        QUANTITY:

  

Amount ($AUD)

   

Total Registration Due ($AUD)

 
Section 6  - Hotel Bookings  - if you do not require accommodation tick this box

The Mercure Hotel Geelong is ideally located in the heart of Geelong close to shopping and business centres, the Eastern Beach waterfront, quality restaurants and major attractions. It offers a wide range of business and leisure facilities and services, combined with attentive and professional staff, to ensure your stay is as comfortable and enjoyable as possible.

 

Accommodation Prices

Single / Double Room $165 per room per night
Including full buffet breakfast for 1 person (Queen Bed for single/couple accommodation)

Twin Room $181 per room per night
Including full buffet breakfast for 2 people (twin bed configurations)

 

Mandatory Fields**

 

Full payment or a credit card guarantee is required to hold the hotel reservations.

Hotel**  

Arrival Date**

  

Departure Date**

Room Type**

Arrival Time

  
     

I will be sharing the room with the nominated accompanying person 

Special Requirements 

 Hotel Rate Per Night ($AUD)

 

 

Section 7 - Registration Terms and Conditions

 

Please note

You will be sent a tax invoice by email. Please ensure your system can receive email from AST management.  The email will contain payment method details. If you do not receive any correspondence, email the secretariat .

Conditions - Please note that it is essential for all participants including invited speakers, delegates and presenters to register.

Welcome Reception - The Welcome Reception is included in Full Registrations only. Additional tickets can be purchased for $70.00.

Early Bird Registration - 'Early' discount is available for registrations received and paid prior to 5pm on the 30th April 2012. Registrations not paid by the 30th April will be re-invoiced at the standard rate.

Payments - Payment is required to confirm registration. Delegates with outstanding registration fees at the conference will be required to provide a credit card guarantee. If payment is not received 14 days after the event, the credit card will be charged. All delegates who register online will be sent a tax invoice within 8 working hours.

Refunds and Cancellations - Registration cancellations and amendments must be sent in writing either by mail; fax or email to Conference Secretariat. A full refund will be made to all cancellations minus a $125 Cancellation fee prior the 30th April 2012. After this date a 50% cancellation fee will be charged for cancellations received in writing prior to 5pm on 6th May 2012. From the 6th May 2012 there will be no refunds made, substitute delegates will be accepted at the cost of an amendment fee. All amendments will incur a $20.00 additional fee.

Disclaimer - The conference organisers reserve the right to change activities, topics and presenters where necessary. The organisers shall not be liable for any loss caused by the cancellation of the conference where such cancellation is due to Force Majeure. The term "Force Majeure" means any circumstance beyond the reasonable control of the organisers including but not limited to War, hostilities (whether war be declared or not), terrorism, aircraft hijacking, military operation, riot, civil war, rebellion, civil commotion or unrest, Acts or Regulations of government, refusal to grant visas, explosions, transport delays, transport difficulties and the insolvency of airline carriers. The organisers will use all reasonable efforts to conduct the conference despite the intervention or occurrence of any such cause.