Registration deadline has been extended until 27th January 2006
UNESCO Conference 'Ethics of Knowledge Production' 12-14 February 2006
Tax Invoice
GST No. 11-163-831
Surname
First Name
Title
Organisation
Postal Address
Email
Phone
Above information may be made available to conference
participants?
Yes
No
Confirmation of registration can be sent by email?
Yes
No
Attending Powhiri/Welcome (Sunday)?
Yes
No
Require transport Sunday
(bus departing Salmond Hall 1.30pm to Powhiri/Welcome,
excursions then on to Larnach Castle for Conference Dinner)
Yes
No
Special Meal Requirements
Select
Registration Type
Price
(including GST)
Paid before
27 January 2006
Office Use
Only
Full Registration
Includes morning/afternoon teas, lunches
NZ$150.00
Tuesday Registration only
Includes morning tea and lunch Tuesday
NZ$50.00
Student Registration
A copy of student identification must be included
with registration
NZ$95.00
Conference Dinner (Larnach Castle)
NZ$60.00
Companion's Dinner (Larnach Castle)
Companion's Name
NZ$60.00
Conference Excursion Sunday (Choose only one of the following excursions)
Bus departs Salmond Hall 1.30 pm:
Penguin Place (numbers limited)
NZ$30.00
Or
Albatross Colony (numbers limited)
NZ$30.00
Or
Larnach Castle Tour
NZ$30.00
Total Registration Fee
NZ$
Select
Accommodation - Salmond Hall ( single room
includes Bed & Breakfast)
Price
(including GST)
Saturday night (11th Feb)
NZ$43.00
Sunday night (12th Feb)
NZ$43.00
Monday night (13th Feb)
NZ$43.00
Additional Nights @$43.00 (Specify below)
NZ$
Dinner Monday night (residents only)
NZ$20.00
Total Accommodation Fee
NZ$
Total Fees Payable to University of Otago
NZ$
UNESCO Conference 'Ethics of Knowledge Production' 12-14 February 2006
Method of Payment
Select
Card Type
By Cheque Payable to University of Otago
By Credit Card (complete details below)
Payment by Credit Card
Amount
NZ$
Name on Card
Credit Card No
Expiry Date
/
Cardholder Signature
Date
Return Registration form with registration fees to:
Sally Boult
Bioethics Centre
PO Box 913
Dunedin, New Zealand
Fax +64 3 474 7601
Additional Registration Information
Registration can be submitted by printing the Registration form, completing and returning by fax or post to UNESCO Conference, Bioethics Centre, PO Box 913, Dunedin, New Zealand. Fax +64 3 474 7601. Payment accepted by cheque or credit card.
Registration will be confirmed by email unless otherwise requested. Please ensure that when paying by credit card an authorising signature is included beside 'cardholder signature'. This registration form becomes a tax invoice upon payment, please keep a copy for your own receipting purposes. A late fee charge of NZ$50 will apply to all registrations received after 19 January 2006. Cancellation of registration prior to 25 January 2006 will incur a $25 admin fee and after this date no refunds can be made for registration or accommodation.