10th International Mental Health Conference

 

‘Looking Back - Moving Forward’

 

Wednesday 12th to Friday 14th of August 2009 at the Holiday Inn Surfers Paradise

 

           Registration Form                                                                                                                               ABN 88010606694

 Required *
Title *              
First Name 
Family Name *
Badge Name (only if different from above) 
Job Title 
Department 
Organisation *
Business Phone*          
Business Fax    
Mobile Phone   
E-Mail Address  * please check, all event correspondence will go to this address
Special Dietary Requirements
Special Hotel Requirements   disabilities only
Send Correspondence E-Mail   Fax
Accompanying Person Information      
Title    
First Name
Surname 
Badge Name (only if different from above) 
Special Dietary Requirements  

Full Registration Includes:

 

All DAY THURSDAY AND FRIDAY (PLENARY AND STREAMS)  MORNING & AFTERNOON TEAS & LUNCHES on BOTH DAYS, DINNER, SHOW AND BEVERAGE (WITH TRANSFERS) AT THE AUSTRALIAN OUTBACK SPECTACULAR, DELEGATE HANDBOOK AND SATCHEL.                  

 

This section is for full registration (includes Thursday and Friday)

Registration Type Registration Amount Due ($AUD)      
 
 

You can book optional workshops on Wednesday or book; Day Only Registration, or EXTRA Dinner Ticket(s)
Workshop details will be published in April 2009
Day Registration Only

 

Amount Due ($AUD)  
Workshop Registration Only

 

 ($AUD)  
Extra Dinner Tickets Only

   

($AUD)

  
     
Total Registration Amount Due ($AUD)   
 
Hotel Booking Information - Holiday Inn, Surfers Paradise

Hotel Rates:  

 

Holiday Inn Surfers Paradise

 

All prices are per room per night. Room Only rate and does not include breakfast.

 

Single $155.00

Double $155.00

Twin $155.00

 

Please note: if sharing a room split deposit payments for accommodation will not be accepted. You need to pay the first night as a deposit, the balance can be paid Hotel bills can be settled on check out. Check your tax invoice for details.

 

DO NOT book a room if you are sharing with another person with a room booking.  All room booking deposits must be paid by cheque or CC guarantee to confirm the booking. Check your tax invoice for details.

 

Hotel  

 

  

Arrival Date  

 

 

  

Departure Date  

 

  
Room Type      
Arrival Time      
Sharing room with nominated accompanying person   
Special Requirements 
Hotel Deposit Due ($AUD)

 

 

Please note: Your registration will be processed in the next 8 business hours.  You will receive a tax invoice by email which will include the link to the payment gateway if you wish to pay by credit card.  If you do not receive any correspondence,  email the conference secretariat. 

I Accept the conference terms and conditions    you need to choose Yes from the drop down to register.