AOSS3 REGISTRATION FORM AND TAX INVOICE
"Australian Open Source Symposium 3"
Saturday, 16 June 2001
THIS FORM SERVES AS A TAX INVOICE.  PLEASE READ CAREFULLY (One form per person)

Section A: PARTICIPANT PERSONAL DETAILS
surname

first name

title (Dr/Mr/Mrs/Ms/Miss)

position

organisation

address

suburb

state

postcode

telephone: business

private

facsimile

e-mail: (please print)

Section B: PAYMENT OF FEES
AUUG Members $60.00 (inc. $5.45 GST) A$....................................
SAGE, ISOC, LUV Members $60.00 (inc. $5.45 GST) A$....................................
AUUG Student Members (Full Time) ID No: ......................... $30.00 (inc. $2.72 GST) A$....................................
Non Member Student Rate (Full Time) ID No: ......................... $50.00 (inc. $4.54 GST) A$....................................
Non Members $100.00 (inc. $9.09 GST) A$....................................
AUUG Inc. Membership Individuals: $110, Corporate: $429, Student (Full Time): $27.50.  If you join AUUG on this form you are entitled to the AUUG membership rate for AOSS3.  Membership will be valid through to 30 June 2002, and inclusive of 10% GST: Individuals $10.00 GST, Corporate $39.00 GST, Student $2.50 GST) A$....................................
TOTAL PAYMENT A$....................................
PAYMENT OPTIONS

Pay by Cheque or Money Order: Please make Cheques payable to AUUG Inc.

OR

Pay by Credit Card:
Bankcard Visa Mastercard

card number
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
expiry date
 
 
/
 
 
name on card

signature

NOTE: This Registration Form serves as a tax invoice. Registrations accompanied by total payment only will be processed in order of receipt.

Please return this form, plus your cheque/payment to:

INFORMATION DISCLAIMER

The speakers, topics and times are correct at the time of publishing and in the event of unforeseen circumstances, AUUG Inc, reserves the right to alter or delete items from the Programme.

Each Delegate named herein, or their later substitute, accepts that AUUG Inc, their agents, speakers, chairmen, secretariat or any other persons ("the parties") involved in the preparation of this pamphlet or in the planning or presentation of this event, do not accept any contractual, tortious or other form of liability for loss or damage suffered by the delegate or their later substitute relying on any statement representation advice or opinion (whether true or otherwise, written or oral) and whether due to the negligence of any of the said parties by this disclaimer of liability to exclude liability, if any, for such statement representation advice or opinion, and that the said party may rely on this disclaimer of liability in the event of any demand claim suit or action brought against any or all of them arising out of any statement representation advice or opinion.  The authors have prepared this material for Professional Development purposes.  Although they trust that it will be useful for this purpose, neither the authors nor AUUG Inc can warrant that the use of this material, would be adequate to discharge the legal or professional liability of members in the conduct of their practices.  AUUG Inc reserves the right to cancel the event.


OFFICE USE ONLY:

Record No. ....................      Rcd: ..... / ..... /00      Paid A$................      Confirmed ..... / ..... /00     

Remarks

Programme updates will be posted to http://www.auug.org.au/events/2001/aoss



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