AEES 2014 Australian Earthquake Engineering Society Conference 21-23 November, 2014 Cumberland Lorne Resort Lorne, Victoria

AEES

REGISTRATION FORM

Please read carefully through all of the information in this brochure before filling in the registration form. ONLINE REGISTRATION NOW AVAILABLE – Please access via AEES website at www.aees.org.au or complete form and: 1. Email to aees@sandersonsec.com.au 2. Mail to PO Box 4014, McKinnon, Vic. 3204

All rates quoted within this form are in Australian Dollars and are GST exempt. AEES is not required to register for GST. GST does not apply. Please type or print in BLOCK LETTERS. Please complete all sections.

SECTION A: DELEGATE DETAILS

Title: Prof Dr Mr Ms Mrs Miss

Surname:

First Name:

Organisation:

Position:

Postal Address: Suburb: State: Country: Postcode: Telephone: Mobile:

E-mail:

Preferred name for name badge: ______________________________

Dietary Requirements: _____________________________________

SECTION B: REGISTRATION FEES

Registration Type Early Bird Received & paid

prior to 10/11/14

Standard Fee Received & paid after 10/11/14

Payment

Full Registration Fee – AEES Member (incl 2 dinners) $535.00 $590.00 AUD$ Full Registration Fee – Non-Member (incl 2 dinners) $560.00 $615.00 AUD$ Conference Only – AEES Member $DUA 00.084$ 00.004$

$DUA 00.505$ 00.054$ rebmeM-noN – ylnO ecnerefnoCFull-time students and retirees (incl. 2 dinners) $250.00 $300.00 AUD$ Day Registration * $190.00 $240.00 AUD$

*If you have selected Day Registration, please indicate which day you will be attending: Friday, 21 November Saturday, 22 November Sunday, 23 November

Total Payment: Section B AUD$

SECTION C: SOCIAL FUNCTIONS/TOUR Only full registrations include both dinners. If you have elected to register for conference only or day registration, or you wish to purchase additional dinner tickets or to register for the optional tour, please indicate below:

Date Function

# of Tickets

Payment

Friday, 21November Australian Seismologists Meeting No charge

Friday, 21 November Welcome Reception – Mantra Lorne Resort ($110)

$

Saturday, 22 November Conference Dinner – Cumberland Lorne Resort ($135) $

Saturday, 22 November 12 Apostles Tour ($40pp)(includes lunch) $

If dinner ticket/s or tour tickets are for an accompanying person please give their name for name badge: _________________________

Total Payment: Section C AUD$

SECTION D: ACCOMMODATION / BUS TRANSFERS Cumberland Lorne Resort is holding a number of 1 & 2 br apartments for AEES delegates until 30 Oct. Online bookings are preferred at www.cumberland.com.au – Click on the ‘check availability’ button, enter your arrival date, enter the promotional code ‘AEES’ and click ‘apply’. You will then be able to book your accommodation. You will receive an email confirmation once the booking is confirmed. Please contact Louise Harvey on 03 5289 4457 if you have any queries or difficulties. To guarantee availability please book before 30 October.

AIRPORT TRANSFERS Please complete the following if you would like airport transfers to/from the conference venue. Cost is $41pp each way. Thursday 20 November No. of seats __ Flight No: ____ Arrival time: _____ $______ Friday 21 November: No. of seats __ Flight No: ____ Arrival time: _____ $______ Sunday 23 November: No. of seats __ Flight No: ____ Arrival time: _____ $______ Thursdays bus will depart Tullamarine between 3-6pm. Friday’s bus will depart by 10.30am. Sunday’s bus will depart from the Cumberland Resort at 1.30pm. Exact times & meeting point will be advised via email once bookings have been received.

SECTION E: PAYMENT OF FEES All cheques s h o u l d be made payable to AEES. International delegates are required to pay by credit card,

international bank draft or electronic funds transfer in Australian dollars only. Mastercard and Visa card are the only

accepted credit cards. Should you require an invoice please complete Section G.

ABN: 83 410 367 830

1.

Total Payment SECTION B

AUD$

2.

Total Payment SECTION C

AUD$

3.

Total Payment SECTION D

AUD$

TOTAL PAYMENT DUE: AUD$

SECTION F: CREDIT CARD PAYMENT

Please select ⌧ � Visa � Mastercard

Card Number: Expiry Date: /

Cardholder’s name: (please print)

Signature: Date:

SECTION G: INVOICE

If you would like to be invoiced for your registration fees please complete the following: Please send invoice to the attention of: Organisation: Email Address: Telephone Number:

Registration Cancellation Policy

Cancellations received in writing by the Conference Secretariat, prior to 14 November 2014, will receive a full refund less

a $25 administration fee. A refund will not be given after this date; however an alternative delegate name may be

substituted. All cancellations and substitutions must be made in writing to the Conference Secretariat.

For further information, please contact

the Conference Secretariat:

Sharon Anderson

PO Box 4014

McKinnon VIC 3204 Australia

Telephone: 03 9015 8350 / 0414 492 210

E-mail: aees@sandersonsec.com.au

AEES is a Technical Society of The Institution of Engineers, Australia