2015 Nationals Registration Form

Registration covers entry to the two day Show and entitles you to book for Functions and Tours

Please complete and return this registration form by the end of April 2015.

Registrations received after 30 April 2015 cannot be guaranteed admission to Functions and will incur a late fee of $15

Surname / First Name (to be used on your name tag) Zone: Age
Registration: / P1 / Enter ZoneWASATASVICNSWSthQLDN&CQ
Accompanied by: / P2 / Enter ZoneWASATASVICNSWSthQLDN&CQ
Accompanied by: / P3 / Enter ZoneWASATASVICNSWSthQLDN&CQ
Accompanied by: / P4 / Enter ZoneWASATASVICNSWSthQLDN&CQ
A person under 18 years of age is classified as a Child. Please enter the age in years if under 18 years.
Mailing address:
Suburb: State: Postcode:
Country (if not Australia) Phone:
Mobile: / Email:
Tick events for each person
Event
Code / Events from 19th June until 23th June 2015 / P1 / P2 / P3 / P4 / Cost per person / Total Number / Total Cost
AA / Registration for each person 18 years & over (Adult) / $25.00 / $
AB / Registration for each person between 12 and 17 years / $10.00 / $
AC / Registration for each person under 12 years (Free) / $0.00 / $
BP
BM / Airport Transfer – Perth to Mandurah
Please complete your flight details on page 2 – Mandurah to Perth / $40.00
$40.00 / $
$
CA
CB
CC
CD / Friday Meet Greet (Adult)
– Greyhounds [includes transport] (Child 12 to 17 years)
(Child 5 to 11 years)
(Child under 5 years) / $55.00
$35.00
$20.00
$5.00 / $
$
$
$
DA
DC / Saturday Night Dinner (Adult & Child 12 – 17 years)
– Stage Door (Child under 12 years) / $65.00
$30.00 / $
$
EA
EC / Sunday Presentation Dinner (Adult & Child 12 – 17 years)
– Mandurah Convention Exhibition Centre (Child under 12) / $75.00
$40.00 / $
$
FA
FC / Monday: Allan Michael Presentation (Adult & Child 12 – 17 years)
– Mandurah Convention Exhibition Centre (Child under 12years) / $55.00
$30.00 / $
$
GA
GC / Saturday Tour: 1 ½ hour Dolphin & Scenic Canal Cruise
including a Fish & Chip Lunch (Adult & Child 13 – 17 years) (Child 3 to 12 years) /
$45.00
$30.00 /
$
$
HA
HC / Sunday Tour: 1 ½ hour Dolphin & Scenic Canal Cruise
including a Fish & Chip Lunch (Adult & Child 13 – 17 years)
(Child 3 to 12 years) /
$45.00
$30.00 /
$
$
IA
IC / Monday Tour (Option 1): Murray River Luncheon Cruise
including two Course Lunch (Adult & Child 13 – 17 years)
Departs 10am – Returns 3pm (Child 3 to 12 years)) /
$90.00
$60.00 /
$
$
JA / Monday Tour (Option 2): Mandurah Wine Tours – Harvey
including Lunch Departs 10am – Returns 5pm (Adult only) /
$95.00 /
$
KA
KC / Tuesday Tour (Option 1): Murray River Luncheon Cruise
including two Course Lunch (Adult & Child 13 – 17 years)
Departs 10am – Returns 3pm (Child 3 to 12 years)) /
$90.00
$60.00 /
$
$
LA / Tuesday Tour (Option 2): Mandurah Wine Tours – Baldivis
including Lunch Departs 10am – Returns 5pm (Adult only) /
$95.00 /
$
ZZ / Registrations received after 30th April 2015
- late fee $15.00 per person / $15.00 / $
Registration Totals / $

SOUVENIRS

Item Code / Item / Number / Unit Price / TOTAL
RB / Result Book** / $10.00
RP / Postage if required for Result Book / $3.00
Souvenirs Total: / $
**As there will only be a limited number available at the Show, please order in advance to avoid disappointment.
Please collect your Souvenirs on Sunday evening.
Extra charges will apply if postage required. / Registration Total: / $
Souvenirs Total: / $
Total Remittance: / $
Accommodation: The Sebel Mandurah 1 Marco Polo Drive, Mandurah, WA 6210

For more info go to http://www.thesebel.com/locations/the-sebel-mandurah#overview
Phone (08) 9512 8300 to contact The Sebel Mandurah.

An accommodation booking form is available from WABC website.

For other accommodation options check the Accommodation link on the WABC website.
Accommodation: Which venue are you staying at?

Airport Transfer

It is important to provide your flight details below to allow WABC to organise your coach transfer if requested.

COACH TRANSFER / Arrival Date / Arrival Time / Carrier
Perth to Mandurah
Departure Date / Departure Time
Mandurah to Perth

Additional Perth Airport Transfer Options are available from the Perth Airport website at http://www.perthairport.com.au/ToTheAirport.aspx .

Pick Up for Tours: The Sebel; Mandurah Chalets & Mandurah Convention Exhibition Centre

Special Dietary Requirements:

Please advise us of any special dietary needs for each person registered

P1: / P2:
P3: / P4:

Payment Methods: Choose one of the two methods below:

1.  Post the completed registration form to WABC National Registration, 14 Lyelta Street, FALCON WA 6210
along with a cheque or money order for the total remittance.
Please make cheques or money orders payable to West Australia Budgerigar Council Inc.
2.  Email completed registration form to WABC National Registration at including your receipt from the Electronic Fund Transfer.
Account name: Western Australia Budgerigar Council Inc.
BSB: 633000
Account number: 125384230
Please provide ‘National Rego’ and your Surname in the bank’s payment description item to identify your payment. When transferring your payment, please request the bank to send a receipt for the transfer from your account to the email.
Remember it is your responsibility to correctly identify your payment.
If your payment cannot be identified, the WABC will assist you where possible,
but your registration cannot be completed until the EFT is identified.

For more information on registrations, functions and tours contact Jan on (08) 95343261