28-30th July Brisbane Convention Centre REGISTRATION FORM

If you wish to register for CMGA'98 please PRINT this form, complete details and either:

Fax with credit card details to:
+61 2 9488 7496
or
Mail with payment to:
CMGA'98 Conference,
PO Box 516, TURRAMURRA, NSW 2074, Australia.

Please Circle Mr  Mrs  Miss  Ms   Dr

Surname……………………………………………………………………………………………………………………

Given Name………………………………………………………………………………………………………………

Position/Title ……………………………………………………………………………………………………

Company…………………………………………………………………………………………………………………

Postal Address ………………………………………………………………………………………………

State………………..Postcode……………………………………………………………………………………………

Country……………………………………………………………………………………………………………………

Telephone…………………………………Fax …………………………………………………

E- mail……………………………………………………………………………………………………………………

Preferred Name for Badge ………………………………………………………………………………………………

How did you find out about CMGA'98?(please tick)

CMGA Mailout   Advertisement   (which publication?) ……………………………

Other………………………………………………………………………………………………………………………

I agree to be bound by the Articles of Associations and Policies of CMG Australia Ltd ACN 003 158 030

Signature……………………………………………………… …………………………………………………………

Registration

Full Conference Registration

Payment Received before 30th June $1220 

Payment Received after 30th June $1400 

One day Registration $590 

Tuesday 28th Wednesday 29th Thursday 30th 

Speaker Registration

Full three day attendance at conference $890 

One day registration on the day of presentation - Free

Attendance at Social Functions for full three day registration

I will be attending the social events which are included in the Conference registration fee.

Yes No 

Special Dietary Requirements…………………………………………

Partner/Guest/One day speaker social registration

For partner/guest or single day speaker at the social events on Tuesday and Wednesday evenings.

Name for badge …………………………………………………………………………………………………………

Tuesday Cocktail Party @ $ 50 $……………………

Wednesday Dinner @ $ 95 $……………………..

Special Dietary Requirements…………………………………………

I cannot attend

 however, I would like to join CMGA

 however, I would like to renew my membership

Membership Renewal Only

Postal address within Australia $135 

Postal Address outside Australia $160 

Total Payment Enclosed $_____

How to Pay

By cheque in AUD, payable to CMGA'98 Conference

By Credit Card - please tick choice
Bankcard Mastercard Visa American Express

Card Number…………………………………………………………………
Expiry date……………………………………………………………………
Name of Cardholder…………………………………………………………
Signature of Cardholder……………………………………………………

PLEASE PRINT AND RETURN THIS FORM WITH PAYMENT TO:

CMGA'98 Conference,
PO Box 516, TURRAMURRA, NSW 2074, Australia.

REGISTRATION ENQUIRIES

Telephone +61 2 9983 0122  Fax +61 2 9488 7496