Preferred Name for Conference Badge __________________________________________________
Organisation/Occupation _____________________________________________________________
Address __________________________________________________________________________
_______________________________Postcode ______________Country _______________________
Telephone (H) _____________________ (W) _____________________
Fax ____________________e-mail _____________________________
Dietry or Other Special Considerations __________________________________________________
Cheque/Money Order Enclosed $_______________made payable to The Australian Documentary Conference.
Or please debit my - Visa ( ) Mastercard ( ) Bankcard ( )
Card Number|____ |____ |____ |____ |____ |____ |____ |____ |____ |____ |____ |____ |____ |____ |____ |____|
Expiry Date _____/_____/_____ Full name as it appears on card __________________________________
Signature of cardholder _______________________________________
Please send me more information on the Documart ( )
I would like to lodge a video/CD Rom at the Videotheque ( )
PLEASE CIRCLE PAYMENT(S) TO BE INCLUDED
FULL REGISTRATION DAY REGISTRATION
(Includes: Conference Papers; entrance (Includes entry to all sessions on
to all conference screenings, the day, lunches, morning and
discussions, sminars and workshops; afternoon teas, does not include
access to the Videotheque and new Friday night dinner)
technology displays; plus discounted
entry to Film Festival. Also includes Individual Corporate
Welcome Reception, Conference Dinner,
and all lunches, morning and afternoon Thursday $150 $250
teas.)
Friday $250 $350
Individual/Filmmaker $395
Saturday $250 $350
Corporate Bodies/Government Departments
/Educational Institutions (Discounts Sunday $200 $300
available for multiple bookings) $795
Monday $150 $250
Student (Please include copy of Student
Card. Places are limited) $245
Additional Conference Dinner Guest $65 Name of Guest (for name tag) _____________________________