Australasian Raptor Conference
100 years and counting: Birds, people and history in Capricornia Ferns Hideaway, Byfield, Queensland
4 - 8 September 2013
BirdLife Australia Membership No (if known): ______
Surname: ______First Name: ______
Other Attendees (full name): ______
Address: ______
Suburb ______State ______Postcode______
Email: ______Mobile: ______
Preferred Badge Name first person: ______
Preferred Badge Name second person: ______
Registration fees for workshops – Wednesday 4th & Thursday 5th September
Photographing birds for the beginner with Kevin Vins: $ 20pp ______Total $______
(Includes morning tea) Wednesday 4th September
8am – midday (limited places available).
Using motion activated cameras for bird monitoring: $ 20pp ______Total $______
With Tom Sjolund (Includes afternoon tea) Wednesday
4th September 1pm – 5pm (limited places available).
Painting birds for the beginner with Margaret Worthington: $ 75pp ______Total $______
(Includes all painting materials morning tea and lunch)
Thursday 5th September 9am – 3pm (limited places available).
Registration fees for Campout – Friday 6th to Sunday 8th inclusive
Full registration (incl all field trips except Shoalwater Bay): $ 25pp ______Total $______
Thursday 5th evening meet and greet $ 10pp ______Total $______
(Basic drinks and finger food included):
Friday 6th full day trip to Shoalwater Bay military training $ 35pp ______Total $______
area (hire bus only, no vehicles) BYO food and drinks:
Saturday evening 3-course dinner (drinks not included) : $ 50pp ______Total $______
(After dinner speech by Henry Nix)
Grand total $______
Dietary Requirements:______
Optional extras for Campout
Friday 6th September: 5 pm Sundowners at the Raspberry Creek Cottage, home of the Byfield and District Historical Museum. Talk by Lorelle Campbell and Bob Black about the ‘Pigeon Forest’ of Byfield followed by a reading of extracts from the lecture given by Dr J. A. Leach President of the Ornithologists Union at the School of Arts, Rockhampton on 16th October 1924.
Finger food provided but BYO drinks. Acceptance essential for catering purposes.
Yes I will attend this event. □
Sunday 8th September: Farewell Sundowner drinks at Ferns Hideaway with a reading of a report of the finding of a new gerygone during the 1924 campout. BYO drinks.
Yes I will attend this event. □
Transfers
Free transfers will be provided for delegates arriving by air into Rockhampton down to Ferns Hideaway or other accomodation. Return transfer will also be provided. If you require a transfer please advise flight and arrival time.
Flight number ______Date ______Time of arrival ______
Payment
□ I enclose a cheque / money order payable to BirdLife Australia, or
□ Please debit my □ Visa □ MasterCard
Please pay in Australian Currency (Cheque / money order / Visa / MasterCard)
Card number: ______/______/______/______
Expiry date: __ __ /__ __
Cardholder name: ______Signature: ______
Refund Policy· A full refund will be given for cancellations received 28 days before the start of the event (minus 10% admin fee)
· A refund of 50% will be given for cancellations received 2 weeks before the start of the event
· There will be no refunds given 1 week prior to the start of the event / Post or email form with payment to:
BirdLife Australia
Supporter Services
Suite 2-05, 60 Leicester Street
Carlton VIC 3053
E
Policy Number:
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