Back .......AIJA MAGISTRATES' CONFERENCE
20-21 July 2001

The Chifley on Flemington, 5-17 Flemington Road, North Melbourne

REGISTRATION FORM/TAX INVOICE
This document will be a "Tax Invoice" when you make payment to:
The Australian Institute of Judicial Administration Incorporated , ABN 13 063 150 739
Level 1, 723 Swanston Street, Carlton, Victoria, 3053, Tel: (03) 9347 6600; Fax: (03) 9347 2980

Please complete and return with registration fee no later than Friday 13 July 2001

Surname: …………………………………………First name………………………………………………

Title (eg Mr/Ms)………………………………………………………………………………………….…...

Position: ……………………………………………………………………………………………………......

Postal Address: …………………………………………………………………………………………….…

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……………………………………………………………………...……Post Code: ………....…………….

Phone: ………………………………………………..….Fax: ……………………………………………….

Email: …………………………………………..Name Tag: ………………………………………………..

REGISTRATION FEE (GST Inclusive) - Includes copies of Conference papers, lunch and morning and afternoon teas.

Amount enclosed

AIJA Individual Members

$AU230

$

AIJA Corporate Members (sending more than one representative) – per person
Please indicate name in which Corporate Membership is held:

………………………………………………………………………

$AU190

$

Non-Members*

$AU325

$

Conference Dinner

$AU75

$

TOTAL

$AU

$

*AIJA MEMBERSHIP
This Conference is open to both members and non-members of the AIJA. If you are not a member when you register for the Conference you will automatically be enrolled as a member for the financial year 2001-2002, unless you notify us that you do not wish to be enrolled.

For payment by Credit Card (Tick/Circle) Bankcard Mastercard Visa Amex

Credit Card Number: ……………………………………………………… Expiry Date: ………………..

Name of Cardholder: ………………………………………………………………..

Cardholder’s Signature: ………………………………………………………………

Cheques should be made payable to "The AIJA" and crossed "Not Negotiable" (Overseas registrants please provide a bank draft in Australian dollars or provide credit card details.) No refunds will be given in respect of any cancellation received after Friday 13 July 2001 or in the event of non-attendance.