1ST SEAPAVAA Pacific Conference and Workshop
The Challenge of Creating and Maintaining an Audio-visual Archive in
a Fast-Changing Technological World
Tjibaou Cultural Centre and the Bernheim Library
Noumea, New Caledonia
June 27 - July 1 2011
REGISTRATION FORM
NAME:TITLE/POSITION/JOB:
INSTITUTION / AFFILIATION:
ADDRESS OF INSTITUTION /
AFFILIATION MAILING ADDRESS:
OFFICE NUMBER:
FAX NUMBER:
MOBILE NUMBER:
EMAIL ADDRESS:
PASSPORT Number:
NAME in PASSPORT:
Expiry Date:
Nationality:
FLIGHT DETAILS ARRIVAL
Date of arrival (in Noumea):
Flight Number
ETA
FLIGHT DETAILS DEPARTURE
Date of Departure (from Noumea):
Flight Number
ETD
MEMBERSHIP CATEGORY (please check):
SEAPAVAA full institutional member
SEAPAVAA associate institutional member
SEAPAVAA associate individual member
Applying SEAPAVAA member
Non-member
CONFERENCE FEES (please check):
The conference registration is inclusive of full access to the symposium, screening nights, dinners (welcome, archival gem screening and farewell), and other activities (except workshop) stated during the conference. Registrants will also receive conference kits and materials and will be provided meals/ refreshments during the symposium.
Registration Fee:
Local Participants (100 USD)
SEAPAVAA Member / Applying SEAPAVAA Member (200 USD)
Non-SEAPAVAA Member (300 USD)
Mode of Payment:
Bank transfer to the SEAPAVAA Account
(kindly direct your query to the Secretariat for the bank details)
Cash on arrival at the conference
WORKSHOP(please check):
Workshop Attendance:
This is optional and would have additional fees to the conference registration.
Yes, I wish to sign up for the workshop/s
SEAPAVAA Member / Applying SEAPAVAA Member (80USD)
Non-SEAPAVAA Member (100 USD)
No, I do not wish to sign up for the workshop
OTHER CONFERENCE ACTIVITIES (please check):
Excursion – Retreat (optional)
Fee may apply.
Yes, I wish to sign up for the excursion-retreat
No, I do not wish to sign up for the excursion-retreat
Institutional Visits (optional)
FREE
Yes, I wish to sign up for the institutional visits
No, I do not wish to sign up for institutional visits
Farewell Dinner (optional)
FREE
Yes, I wish to sign up for the Farewell Dinner
No, I do not wish to sign up for the Farewell Dinner
ACCOMPANYING PERSONS
In case you have accompanying person/s who intend/s to attend any of the abovementioned events, kindly inform the SEAPAVAA Secretariat to facilitate the necessary arrangements and payment of respective fees. Accompanying person/s who will attend the main symposium will be charged the full conference registration fee.Workshop (100USD)
Welcome Dinner
Screening Night
Farewell Dinner
Institutional Visits
Excursion-retreat (fee may apply)
HOTEL ACCOMMODATIONS (please check):
Reservations are on a first come, first served basis. Conference will be held at the Tjibaou Cultural Center situated at Rue des Accords de Matignon, TinaNoumea, Grand Terre 98845New Caledonia. There are other hotels in the area but we recommend that you stay with us at the Surf Hotel. If you would like us to book you a room in this hotel, kindly fill up the items below; the secretariat, however, can only arrange accommodations in S Hotel. Participants who would like to stay elsewhere will have to personally secure their arrangements. Kindly indicate your accommodation arrangements if you are booked somewhere else.
For participants who would like to be booked by the Secretariat in SURF HOTEL:
Room Rate (all rooms 3 pax maximum):
Room Sea view : 88 USD
Room Garden view : 76 USD
Room with American breakfast Sea view : 111 USD
Room with American breakfast Garden view : 99 USD
Sharing with: ______
______
Date of Check-in: ______
Date of Check-out: ______
For participants who would be making their hotel arrangements not in SURF HOTEL
Name of Hotel: ______
Date of Check-in: ______
Date of Check-out: ______