Townsville - hosting the QSITE State Conference 2000 QSITE State Conference 2000
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Participant Information
Title Firstname Surname
School/Organisation
Position
Postal address
City/Town/Suburb State Postcode
Main contact phone Home phone Mobile phone Fax
(include STD code) (include STD code) (include STD code) (include STD code)
Email address - this must be your unique email address (if you do not have an email address email the webmaster)
Conference Choices/Costs
Membership Status    (Your Status will determine the conference cost)
Membership No. if applicable
Number of Dinner Tickets   

Pre-Conference Events:

Yes No

Cocktail Party: (no additional cost)

Please indicate how many will be attending

I wish to be picked up from the airport on Wednesday, 20th September  Yes No
Please indicate time for airport pick-up  No Time

10:30
    am

11:30
    am

12:30
     pm

1:30
     pm

2:30
     pm

3:30
     pm

5:30
     pm

7:00
     pm

9:00
      pm

Special Dietary Requirements
I am happy for my contact details to be given to the conference sponsors only so that I can be kept informed about the latest hardware, software and training options Yes No
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