A form must be completed for each registrant. / PLEASE KEEP A COPY OF YOUR REGISTRATION DETAILS
PERSONAL DETAILS – Please use BLOCK letters
Title (eg. Mr/ Mrs/Dr/Prof): / Family name: / Given name/s:
Preferred name for tag:
Department:
Organisation:
Address for correspondence:
City: / State: / Postcode: / Country:
Tel: / () / Email: / Fax: / ()
G-20 AFFILIATION
Please indicate if you are registering as a (please tick) / Presenter; or
Guest
TRAVEL INFORMATION
Arrival date (into Sydney) / Arrival time: / Airline/Flight Number:
Departure date (ex Sydney) / Departure time: / Airline/Flight Number:
Please indicate if you would like to be met at the airport and be transported to the Rydges on Jamison Hotel by our staff (please tick) / YES NO
LOCATION
The workshop and accommodation are located at:
The Rydges on Jamison
11 Jamison Street
Sydney NSW 2000
AUSTRALIA
Tel (+61 2) 9696 2500
Fax (+61 2) 9696 2600
ACCOMMODATION
Accommodation for nights of the 26th, 27th and 28th are complimentary. You will receive a Deluxe King room, including one breakfast per room each morning. Additional nights will require a payment of AU$220 per night and are subject to the registration cancellation policy below. Please indicate the nights that you would like accommodation (please tick)
26 August 2005 / 27 August 2005 / 28 August 2005
other please specify:
Please indicate the type of room you require: / Non-Smoking / Smoking
Note: check-in time is 2pm and checkout time is 11am; if check-in is required prior to 2pm, an additional night’s accommodation may need to be reserved. Please indicate if this is required (please tick)
If you are organising your own accommodation at a different location, please provide the details below:
Hotel:
Address: / Nights of accommodation:
Contact number:
PAYMENT DETAILS (ONLY IF ADDITIONAL ROOM NIGHTS ARE REQUIRED)
The hotel accepts payment in the following methods (please tick the appropriate box)
Payment by Credit Card
MasterCard / Visa / Bankcard / AMEX
Card number: . .
Card holder’s name [please print]
Signature / Expiry Date: / .
Registration Cancellation Policy
Cancellation of a registration must be notified by email, fax or letter to Kim Osmond (contact details below). Cancellations prior to 28 July 2005 will receive a full refund less 10% in administration fees. No refund will be given for cancellation after 28 July 2005; however, substitutions will be possible.
SOCIAL FUNCTIONS (There are no charges for attending these events.)
Welcome Cocktails, Rydges on Jamison, 6pm, Friday 26 August 2005
Please indicate if you will be attending welcome cocktails at 6pm on Friday 26 August 2005 at the Rydges on Jamison: / YES NO
Workshop Dinner, Guillaume at Bennelong, the Opera House, 7pm, Saturday 27 August 2005
Please indicate if you will be attending the workshop dinner at 7pm on Saturday 27 August 2005 at Guillaume at Bennelong, the Opera House: / YES NO
Lunch, 28 August 2005
Lunches will be provided on 27 and 28 August 2005. As the lunch on Sunday 28 August 2005 takes place after the workshop concludes, please indicate whether you will attend: / YES NO
SPECIAL REQUIREMENTS
Other Requirements or Assistance
Please indicate if you have a disability or require assistance to be able to participate fully in the workshop.
Please state the type of assistance required (for example, transport to the dinner venue from the hotel):
Dietary Requirements
We may be able to provide for special meal requirements. Please specify if you have any:
Privacy
Do you agree to have your contact details included on the delegate list? / YES NO
PLEASE CHECK YOUR FORM IS FULLY COMPLETE BEFORE SENDING
Please send your completed registration form to:
FAX: +61 2 6263 3877
NO LATER THAN MONDAY 18 JULY 2005
For further information or assistance please contact:
Kim Osmond
Operations and Logistics Unit
G-20 and APEC Secretariat
The Treasury
Ph: +61 2 6263 2821
Fax: +61 2 6263 3877
The Department of the Treasury is collecting the personal information on this form for the purpose of registration. Your personal information will be held securely and will only be passed on to the Rydges on Jamison for the purposes of securing accommodation if you have indicated that you require accommodation to be arranged on your behalf. Relevant contact information will be included on the delegate list unless you indicate otherwise above.
FOR ADMINISTRATION USE ONLY (tick where appropriate)form completed correctly / details entered into database by (initial):
payment details completed