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The Australian National University

Registration form

Please note that there is an 20% surcharge if you register or pay after 4 November 2011.

There will be no refunds of registrations after the 18th November 2011. Refunds up till the 18 November will incur an administration fee:
students $22
others $165

If you don't fully complete the payment section when registering, your registration will NOT be accepted.



Registration type

Full Registration (AU$1980 including GST)
Non-ANU Full-time Student Registration (AU$264 including GST)
ANU full-time Student Registration (AU$234.96 excluding GST) by Journal entry only - RCE201.10, arrange with your School Administrator
Students enrolled for credit in an award program
Other amount (negotiated with organisers)


Registration details
Title
Given name
Surname
Affiliation/Organisation
Home address
City
State Post Code/Zip
Country
Email
Phone
Mobile

Welcome Reception

See the Social events page for more details on the Welcome Reception and other activities.

I will be attending the Summer School Welcome Reception. (This is a chance to meet your colleagues before the school begins and is free to all participants.)
Yes
No
Any special dietary requirements:


T-Shirt
Summer School T-Shirt size. (The T-Shirt is free to participants.)
Small
Medium
Large
Extra Large



Updated:  11 November 2011 / Responsible Officer:  JavaScript must be enabled to display this email address. / Page Contact:  JavaScript must be enabled to display this email address.