Return to Registration (General)

The Challenge of Diversity
21-24 November, 1999
Name: 
E-mail: 
Phone: 
Fax: 
Postal Address : 
I plan to 
  submit  a  paper
  present a poster

Accommodation
The options for reserving accommodation at Laguna Quays are listed in the menus below. 
(Access menu items by clicking on the down arrows -- select by clicking on the preferred option.
To return to a partially completed registration form from,say,  Accommodation Options, use the Back button.) 
Prices are per night.
First preference:
Second Preference:
for the nights of (amend as required): 

 Accommodation costs, apart from the one night deposit, should be settled individually with Laguna Quays, but booked through D'99 for reduced rates.
If sharing a room, list any preferred partner(s):  

Please contact me about arrangements for sharing accommodation.
(Alternative accommodation is also available at Proserpine, Airlie Beach and surrounding area, but will involve daily travel.)
  Please contact me in regard to alternative accommodation arrangements.

Number of delegates  (AU$300 AustMS members ; AU$350 non-members)
Accompanying persons at conference dinner  (AU$50 each)
Accommodation deposit (one night) AU$
Total Amount payable: AU$
.
I have or will forward either payment  or Credit Card details by mail on 
Please forward payment by cheque, bank draft or equivalent, in Australian dollars,
made payable to Delta99 Mathematics Symposium
or your Credit Card details to:
The Treasurer  D'99
c/- Mathematics Learning Centre
Central Queensland University
Rockhampton, QLD,  4702
Australia
 or
charge against my credit card as follows
Mastercard Visa
Number:   Expiry date:  Amount: AU$
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