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2002 Conference Registration

First Year Experience Discussion Forum
and
Scholarly Inquiry in Flexible Science Teaching and Learning Symposium

Sydney

Thursday, April 4, 2002 (FYE Discussion Forum)
Friday, April 5, 2002 (Scholarly Inquiry Symposium)
The University of Sydney

ABN 15 211 513 464

Payment for registration (2 days: $300 - includes GST or 1 day: $165 - includes GST) can be made by cheque or credit card (Amex not accepted). If you are internal to The University of Sydney please arrange payment (2 days: $272 - excludes GST or 1 day: $150 - excludes GST) via a journal transfer (email PhySciCH@mail.usyd.edu.au for account code details). Please make cheques payable to The University of Sydney and send to:

		UniServe Science
		Carslaw Building (F07)
		The University of Sydney
		NSW 2006

If paying by credit card please print this form, complete the credit card details, sign it and fax to (02) 9351 2175 or mail to the above address.

Registration

Note: If paying by credit card please print this form (before you click on the Register button), complete the credit card details, sign it and fax to (02) 9351 2175 or mail to the above address. Unfortunately we cannot offer electronic payment as we require your signature.

Title: Surname:

Preferred Name:

Institution:

Address:

Telephone: Fax:

Email:

Discipline: Other:

Registration Details

2 days ($300 - includes GST):
(USyd: $272 - excludes GST)

First Year Experience Discussion Forum, only
($165 - includes GST):
(USyd: $150 - excludes GST)

Scholarly Inquiry in Flexible Science Teaching and Learning, only
($165 - includes GST):
(USyd: $150 - excludes GST)

Credit Card Details

If paying by credit card please print this form (before you click on the Register button), complete the credit card details, sign it and fax to (02) 9351 2175 or mail to the above address. Unfortunately we cannot offer electronic payment as we require your signature.

Type of Card: ____________________ Card No: ____________________

Expiry Date: ____________________ Name of cardholder: ____________________

Signature of cardholder: ____________________ Amount: ____________________