Passive and Active Measurement Workshop (PAM)
Adelaide, March 30 - 31 2006

TAX INVOICE
University of Adelaide ABN 61 249 878 937


PARTICIPANT  REGISTRATION

Name First name
Affiliation
Address

City Zip/post code
Country State
Phone Fax
Email


Registration fees
Early Registration (before March 1st)
Select your category
Student AU $300 (includes AU $30 GST)
Non-Student AU $350 (includes AU $35 GST)
Late Registration (after March 1st)
Student AU $350 (includes AU $35 GST)
Non-Student AU $400 (includes AU $40 GST)
Additional Tickets
for Dinner 		AU $80
Cancellation Registration fees can be refunded on written demand
to Angela Hoffmann at the address below March 15. 
The fees include, the coffee breaks, Thursday dinner and the welcome reception on Wednesday evening.
Student registrations must be accompanied by a copy of a student ID card, valid at the time of the workshop.

Do you have a special meal requirement ?
Additional tickets for conference dinner?

METHODS OF PAYMENT
  • By Money Order or Check in Australian Dollars, made payable to: "PAM 2006, Teletraffic Research Centre, University of Adelaide"
  • By international funds transfer, please contact Angela Hoffmann at the address below.
  • By credit card (VISA, MASTERCARD) by filling and signing the following form

Personal data : Last name First name
I authorize the University of Adelaide to charge my credit card
Card type Amount
Card number Expiration date

Date
Signature

To complete your registration
1) print the form
2) fax the printed form to Angela Hoffmann at the number below
3) if paying by check or money order, mail to

Angela Hoffmann
Teletraffic Research Centre
University of Adelaide
Adelaide 5005
AUSTRALIA
Tel : +61 8 8303 5413,    Fax : +61 8 8303 4395

Don't forget to include a copy of your student card if you are registering as a student.
In case of any problems, please send an e-mail to Angela Hoffmann