Документ взят из кэша поисковой машины. Адрес оригинального документа : http://www.atnf.csiro.au/research/conferences/2013/gzo/GalaxyZooPaymentForm.pdf Дата изменения: Fri Feb 8 06:41:08 2013 Дата индексирования: Sat Mar 1 04:33:40 2014 Кодировка: Поисковые слова: jet

Participant Payment Form
Registration is only complete on receipt of full payment. Early Registration Fee (by 15th July): Student Registration Fee: Extra Dinner Guest (per guest): First name Institution Contact phone Email address Postal address Fax $225 $100 $100 Last name

Full Registration Fee (after 15th July): $250

Payment details
Amount to be paid $ Credit Card Type Card Number Name on card Signature FAX or email completed form to: Visa Registration fee MasterCard Additional dinner guest Diners Expiry Date

Amanda Gray CSIRO Astronomy and Space Science PO Box 76, Epping NSW 1710
Amanda.Gray@csiro.au

Office Use Only Cost code: Date received: Registration no: R-00291-01-017

Phone: +61 2 9372 4642 Fax: +61 2 9372 4310
All other Enquiries to: ivy.wong@csiro.au

Please consider this form a tax invoice once you have paid. ABN: 4167 871 19230
Cancellation policy: Any cancellation must be in writing/fax to the above address. Cancellation one week or more prior to workshop incurs a $25 cancellation fee. Thereafter, no refunds can be given. Registration can be transferred to another participant from the same school without cost or penalty