ANZA Work & Travel Registration form

Booking details Organisation details
Fields marked with * are required.

In submitting this application you will be entering into a binding contract with ICEF Asia Pacific.

Please read the terms and conditions for more details.

Institution / company*

First person - includes meeting table + eSchedule PRO account
Early rate (until August 31, 2011):AU$2 070 - Regular rate (from September 01, 2011): AU$2 300

First name*

Family name*

Second person - AU$ 2,000 (with 2nd eSchedule PRO account)

First name

Family name

Accompanying person - $1,000 (without an eSchedule PRO account)

First Name

Family name

Indicate association membership, if any:

Email address for invoice*

Note: For Early rate bookings, first person fees are payable in full within 30 days of invoice
Please click here for Terms & conditions

I agree to the terms and conditions

I agree to the terms and conditions