Exclusion and Embrace: Disability, Justice and Spirituality

Please register for the Conference by using the easy online form at TryBooking

However, if you prefer to use this word document to register, please complete Personal Details for each delegate being registered, plus the Payment form, below. All costs are GST inclusive. Be sure to also read the Terms & Conditions.

Delegate category / Number of delegates / Early bird rate
(on or before 17 June, 2016 / Standard rate
(after 17 June 2016 / Total
Organisational representative / $450.00 / $525.00
Individual / $350.00 / $400.00
Concession/ Student (full-time)
NOTE: Copy of ID card required / $150.00 / $150.00
TOTAL:
If registering more than one delegate, please list all delegates names here:

Note: Conference places may be limited to a “first-come, first-served” basis.

A rate for single-day attendance may be available after 17 June depending on availability of places. If you are able to attend only one day, please check with the Conference Secretariat (contact details below) after that date.

Registration entitles you to attendance at all sessions, plus the catering for each day (daily tea coffee, morning afternoon teas and lunches, and both Sunday and Monday night dinners).

Exclusion and Embrace: Disability, Justice and Spirituality

REGISTRATION FORM

Delegate’s Details

Title / First name / Name for badge (if different from first name) / Surname
Organisation Name
Postal address / City / State / Postcode
Mobile phone / Other Phone / Email
Please outline any particular support you will require during the Conference
Dietary restrictions if any:

All name tags will show first name and surname only, unless an alternative is requested.

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Payment Details

Please find enclosed my total payment as above, by the method ticked (ü) :

Please debit $ from my
☐ / Mastercard / ☐ / Visa
Cardholder’s Name:
Card Number:
Expiry Date: / Signature:
OR
☐ / Direct Deposit / EFT – to Account Name: UCA Synod of VIC TAS
BSB: 033157, Account Number: 344136 Reference: 1651475
OR
☐ / Cheque (made payable to: Uniting Church in Australia.) Please note delegate’s name(s) on cheque.

Please forward above payment details (and include personal details for each delegate) to the Conference Secretariat by email to or by post (details below) as soon as possible to confirm your registration.

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TERMS & CONDITIONS:

Cancellations/Refunds: Cancellations received by email or in in writing at the Conference Secretariat by 15 July 2016 will be accepted and refunded less a 50% administrative fee. Cancellations received after this date cannot be refunded.

Transfer of registration: Transfer of your registration to another person in the same delegate categoryis acceptable. The full name and details of the person who will replace you must be advised by email or in writing to the Conference Secretariat prior to the Conference.

No refunds can be made for non-attendance at the Conference.

Disclaimer:
While the program is correct at time of publishing, the conference organisers reserve the right to change activities, the program and program timings, and/or topics and presenters where necessary. Some changes may be beyond the control of the organisers. The organisers will not accept any liability for any loss or inconvenience caused to any party consequent to such changes.

The organisers shall not be liable for any loss caused by the cancellation of the conference where such cancellation is due to Force Majeure. The term "Force Majeure" means any circumstance beyond the reasonable control of the organisers including but not limited to War, hostilities (whether war be declared or not), terrorism, aircraft hijacking, military operation, riot, civil war, rebellion, civil commotion or unrest, natural disasters, Acts or Regulations of government, refusal to grant visas, explosions, transport delays, transport difficulties and the insolvency of airline carriers. The organisers will use all reasonable efforts to conduct the conference despite the intervention or occurrence of any such cause.

The meeting organisers reserve the right to use any recordings whether audio or video and/or any photographs taken at any stage during the Conference for promotional, advertising or reporting of the Conference and/or its content at their sole discretion. Should a delegate not agree to this use of recordings and/or photographs, they must advise Ann Byrne at the Conference Secretariat (details below).

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For additional information, contact

Ann Byrne,

Conference Secretariat

Uniting Church Synod of Victoria and Tasmania

130 Little Collins Street, Melbourne, Vic 3000
t(03) 9251 5404 | m 0428 611 218