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Australian Women Lawyers - LexisNexis

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APriority registration form<strong>Australian</strong> <strong>Women</strong>s <strong>Lawyers</strong>Third National ConferencePlease complete sections A, B, C, DDelegate detailsMr/Ms/Dr:First nameLast nameTAX INVOICE4 easy waysto registerCEvent Pricing (please tick your selection)EXAMPLEOnline: www.lexisnexis.com.au/AWLPhone: 1800 772 772Fax: (02) 9422 2338Mail: Conference Co-ordinator, <strong>LexisNexis</strong>Locked Bag 2222,Chatswood Delivery Centre, Chatswood NSW 2067or: DX 29590 ChatswoodConference code: PD1110 ABN: 70 001 002 3571 Day Conference only - Saturday 1 $400 + GST = $440 $440Position:Organisation:Postal address:Suburb Postcode StateTelephone:Fax:Email (required**):** to send conference confirmationStandard pricing (per person, available anytime)PleaseSelectOptions Qty Price SubtotalStandard Full Conference + GalaDinner and Welcome ReceptionStandard Full Conference andWelcome Reception only$880 + GST = $968$750 + GST = $8251 Day Conference only - Saturday $400 + GST = $4401 Day Conference only - Sunday $300 + GST = $330Dietry requirements:Additional guest name/sMr/Ms/Dr:Email (required**):** to send conference confirmationFirst nameLast nameNew Lawyer pricing* (must be a law student, a trainee solicitor or in the first 5 years of admission)New Lawyer - Full Conference +Gala Dinner + Welcome ReceptionNew Lawyer - Full Conference +Welcome Reception onlySocial program only$730 + GST = $803$600 + GST = $660Gala Dinner only $130 + GST = $143Mr/Ms/Dr:Email (required**):First nameLast nameGala Dinner - Additional guests $130 + GST = $143Welcome Reception - Additionalguests$39.09 + GST = $43B** to send conference confirmationCONFERENCE RESOURCESI am unable to attend but would like to purchase a set of the <strong>Australian</strong> <strong>Women</strong>s<strong>Lawyers</strong> Third National Conference papers for $300 + GST = $330Please subscribe me to <strong>Lawyers</strong> Weekly1 year subscription: $65 (inc GST) or2 years subscription: $104 (inc GST) (more than 70% discount from RRP of $235.40per annum).I wish to purchase the <strong>Women</strong> and the Law in Australia book$126.36 + GST = $139D* Early Bird, team discounts and any other discount cannot be taken concurrentlyPayment detailsPayment is due upon registration. This document will be a Tax Invoice/Receipt for GST upon completion of payment.Enclosed is my cheque for: $Pay by credit card: Please charge $Mastercard Visa American Expressmade payable to <strong>LexisNexis</strong>Card number: / / /toTOTALWhere did you hear about this event?Expiry: /Please add me to the <strong>LexisNexis</strong> Monthly Professional Development email listName of cardholder:Accommodation bookingsAccommodation discounts and booking information are detailed within the program.Child mindingPlease contact this well-respected local agency directly for detailed information ondaytime or evening childminding.Dial-An-AngelContact: Beth RileyPh: 07 3878 1077 • Fax: 07 3878 2730 • E: brisbane@dialanangel.comWeb: www.dialanangel.comSignature of cardholder:Charge to my <strong>LexisNexis</strong> account: $Account number:Signature:Name of approving manager:PROGRAM CHANGESDetails regarding this conference were confirmed and correct at the time of printing. <strong>LexisNexis</strong> reservesthe right to cancel or amend the conference details at any time if required.CANCELLATIONYour registration will be confirmed in writing when full payment has been received. <strong>LexisNexis</strong>’cancellation policy applies as follows. If cancellation is notified in writing:1. One calendar month or more prior to the first day of event: <strong>LexisNexis</strong> will refund your registrationfee less $165.00 administration cost.2. Between one calendar month plus one day and 14 days prior to the first day of event: <strong>LexisNexis</strong> willrefund 50% of the fee paid by you and provide you with a copy of event papers.3. 13 days or less prior to the first day of the event: <strong>LexisNexis</strong> will not refund any part of your fee.However, you may nominate a replacement delegate to attend in your place.IMPORTANT PRIVACY NOTICE:The information you provide on this form is collected by Reed International Books Australia Pty Limited forthe purposes of processing your registration or enquiry and keeping you informed of upcoming products,services and events. The information is disclosed from time to time to our related bodies corporate forthese purposes.The provision of this information by you is voluntary but if you do not provide some or allof the requested information we may be unable to properly process your registration. You have both a rightof access to the personal information we hold about you and to ask us to correct it if it is inaccurate orout of date. Photographs/audio visual content may be produced at this event and might be used for future<strong>LexisNexis</strong> Professional Development collateral. Please direct your enquiries to privacyau@lexisnexis.com.auPlease note, delegate information will be provided to sponsors.Please tick here if you do not want sponsors to receive your informationTick here if you DO NOT wish to receive information about upcoming eventsEvent date& venue6 - 8 August 2010Stamford Plaza, BrisbaneCnr Margaret & Edward Street, Brisbane

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