STATE CONFERENCE REGISTRATION FORM

Complete this form and send it with your payment to the Conference Registrar:

Bev Leggett, P.O. Box 586, Fortitude Valley, Qld. 4006

(Any queries phone 07 3870 8517 or

email - bleggett@australiaonline.net.au).

Make Cheques payable to: Logan River Branch SGAP Conference A/C.

Please register early if you want accommodation at Jacobs Well Environmental Education Centre, cnr. Behms Rd and Pimpama - Jacobs Well Rd , Norwell.

REGISTRATION DETAILS

Couples to complete one form.

Name 1 …………………………………………………………………. Title ……………………….

Name 2 …………………………………………………………………. Title ……………………….

Preferred Given Name(s) …………………………………………………………………………..

Mailing Address ………………………………………………………………………………………..

…………………………………………………………………………… State ……….. P/C ……….

Member of …………………………………………… Region …………………………….Branch

Phone No. ……………………………………………. Business/Mobile ..……………………….

Fax ……………………………….. Email ………………………………………………………………

Special dietary requirements, please specify ………………………………….……………. ………………………………………………………………………..………………………………………

Travel and accommodation arrangements (Rail travel is available to Ormeau Station. This is on the Gold Coast Rail Line which is directly accessible from Brisbane Airport or Roma St Bus or Train station. Transport from Station to conference venue can be arranged as required)

Mode of travel to Jacobs Well ……………………………………

Is transport required from Ormeau Station? ……………….

Day and time of arrival ……………………………………………..

Date and time of departure ……………………………………….

Accommodation address ……………………………………………

Contact phone no during conference ………………………….

(these details can be forwarded at a later date if necessary.)

SEMINAR

Sunday tour trip to Roma St Parklands Yes / No (own cost)

Conference Registration

A Full - $ 225 members as above – registration by 30^th April 2010

$ 250 for non members and registration after 30^th April 2010

Full registration includes all day trips, all conference sessions, morning and afternoon teas and lunches, Monday to Friday inclusive.

Total A $ ………………..

B Daily or part registration (if you do not wish to register full time) – please circle days required. Morning, afternoon teas and lunch are included in each day.

Cost for each day is $50 ($55 for non-members and registration after 30^th April 2010 ).

Monday Tuesday Wednesday Thursday Friday

Total B $ ………………

C Dinner will be available for those not staying at the Ed Centre –

Cost $20 each. Please circle days required. No required ………….

Monday Tuesday Wednesday Thursday Friday

Total C $ …………….

D Accommodation.

For those wishing to stay at the Jacobs Well Environmental Education Centre, please indicate below the days you require accommodation. The Centre provides single dormitory style accommodation and you will need to bring sheets, towel etc..

Accommodation cost of $ 40 per day includes dinner, bed and breakfast each day.

Saturday 18^th Sept $ …………….. Sunday 19^th Sept. $ ……………

Monday 20^th Sept $ …………….. Tuesday 21^st Sept $ ……………

Wednesday 22^nd Sept $ …………….. Thursday 23^rd Sept $ ……………

Friday 24^th Sept $ ……………..

As accommodation here is limited to 44 people, allocation will be on the basis of order of registration.

Total D $ ……………

Total Cost Add Items A to D TOTAL (A to D) $ ………….

Deposit with Registration $ 50

Balance due ( 31^st July 2010 ) $ ………….

E Post Conference Tour to North Stradbroke Is. (Sat 25^th – Mon 27^th Sept.)

Cost - $225 per person.

NB. The tour is strictly limited to 39. Places will be allocated on order of registration, so please be quick! People not attending the seminar sessions will only be considered if vacancies exist after the 30^th April 2010 .

Accommodation will be at the Moreton Bay Research Centre at Dunwich.

Number attending 1 / 2

Deposit $ 50 (per person) with Registration (required by MBRC)