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  Registration Form  
 
Note for Early bird registrants. As the conference program will not be finalised until 30 May, presenters wishing to register as day registrants should go ahead and do so, even if they are unsure which day their paper will be scheduled on. If necessary the conference office will adjust the day selected in your registration after the program is finalised.

Personal Details
title
first name
surname
institution/organisation
address for
correspondence
state  postcode 
country 
phone
(please include country
& area codes)
fax
(please include country
& area codes)
email address
if you are a current HERDSA member, enter membership no:

Conference Registration

You must be a current member to qualify for member registration. Full registration for non members includes 12 months HERDSA membership. Proof of status is required to qualify for student/retiree registration. earlybird -
closed		 after April 30 full time student
or retiree
Full Registration
•  includes all sessions
•  conference notes
•  conference satchel
•  CD Rom of conference publications
•  welcome reception
•  morning and afternoon tea
•  lunch (Monday & Tuesday)
•  conference dinner
 member
$600
 non
$715
 member
$680
 non
$795
 member
$350
 non
$435
Day Registration
•  includes day sessions
•  conference notes for the day attended
•  conference satchel
•  CD Rom of conference publications
•  morning and afternoon tea
•  lunch (Monday & Tuesday)
Note: Welcome reception and Conference dinner are not included in day registration 		Please select day(s) of attendance
sun 3rd
mon 4th
tue 5th
wed 6th
member
$280
 non
$300
 member
$300
 non
$320
 member
$200
 non
$285
Cost $AUD 
Pre Conference Workshops - Sunday 3 July, 9.00am - 1.00pm followed by lunch
1. Making assessment support student learning: principles, practices and evalution of impact $75
2. The life of an academic developer: What do we do? And why do we do it? $75
3. Relevance, resistance and responsibility: Teaching and learning with indigenous knowledges in universities $75
4. Research-based teaching and learning: the changing direction of undergraduate education $75
Note: Please select one workshop only none
Welcome Reception
- Sunday 3 July - wine and canapes
Delegate attending reception
(included in full rego)
Delegate attending reception
(day rego - $30)
Delegate not attending
Partner $30
Conference Dinner
- Tuesday 5 July - dinner, drinks and entertainment
Delegate attending dinner
(included in full rego)
Delegate attending dinner
(day rego - $100)
Delegate not attending
Partner $100
Conference Publication
- Order a hard copy of the conference proceeding Research & Development in Higher Education Vol.28
Note: full registration or day registration includes CD Rom of all conference publications.		 $50
Subtotal:

Accommodation

Accommodation at selected venues has been secured at a reduced rate for conference delegates. Credit card details will be forwarded to the hotel and the equivalent of one night’s room rate will be debited by the hotel. Your card number will continue to be held by the hotel to settle any further charges on departure. Any accommodation changes should be made directly through the hotel.
Check in date: Check out date: Approx time of arrival:
Please select your preferred hotel and include the number of nights accommodation you require. SingleDoubleTripleNo. of
nights		1 night deposit
Sancta Sophia College - on campus accommodation (shared bathroom) FULLY BOOKED $60 $95(twin) n/a
Capital Square Hotel Sydney *** FULLY BOOKED $130 $130 n/a
Rydges Hotel Camperdown **** FULLY BOOKED $145 $145 $180
Novotel Darling Harbour – Standard Room **** $189 $189 n/a
Novotel Darling Harbour – Harbour View Room **** $219 $219 n/a
No accommodation required

Total conference package (including subtotal):      

Payment Details

All payments must be in Australian dollars. Payment will be accepted by Credit card (Visa, Mastercard, Bankcard, Amex or Diners)
Credit card payment
Visa Mastercard Bankcard Amex Diners
Card Number  Expiry Date 
Name as appears on card 


CANCELLATIONS
• All cancellations must be in writing to the Conference Management Organiser.
Your cancellation is not effective until you receive confirmation.
• A refund of 50% of the registration fee will be made on cancellations received prior to 1 May 2005
• No refund of registration fee will be made after the 1st May 2005.
• Accommodation cancellations will be refered to the hotel's cancellation policy.
• Any change of accommodation booking or cancellation should be made directly to the hotel.
 Contact Details:
P: +61 2 9771 3911
F: +61 2 9771 4299
E: herdsa2005@herdsa.org.au
W: www.herdsa.org.au/2005