Registration Tax Invoice

ABN 75 005 971 406

Please read carefully:

Our registration involves three steps:

complete a registration form which will serve as a tax invoice,
print the tax invoice, then
complete the payment form and either send by post with a cheque or submit it electonically.

Registrant's Personal Information

This information will not be distributed or used for any purposes other than those appropriately associated with OZeWAI.

Name (for name tag):

Corporation/Institution/Organisation:

Postal address: postal address

Phone number:

Email address:

Please indicate if any of the following are relevant: Vegetarian Wheelchair user Auslan

Other needs (provide details) Other needs

Please check boxes to indicate your particular interests with respect to Adaptability:

government education disability advocate website developer
website manager research personal

Please indicate if you wish to attend the following (there is no extra charge):

Wednesday night BBQ. Yes, I'll be attending.
Thursday night dinner. Yes, I'll be attending.

Registration (tick applicable and add necessary information):

Full registration - $400 (incl GST)

Student registration - $300 (incl GST)

Daily registration - $150 per day (incl GST) ie $300 for 2 days

Daily registration:
Wednesday Thursday Friday

Extra dinner tickets @ $35 (incl.GST) - how many?

Total payment

I will be posting in a cheque

Please note and transfer the total payment amount to the payment form you will receive when you submit this form. Remember to print this invoice before you submit it.

"Adams at La Trobe" are handling the registration process for the OZeWAI Conference.

ABN 75 005 971 406

Adams at La Trobe
John Scott Meeting House
La Trobe University
Bundoora VIC 3086