ICT Online Registration

Science Victoria

ICT in Science Conference
Online Registration

You are about to begin the on-line registration process.
Payment
Payment can be made by cheque made payable to STAV Publishing or a purchase order to be supplied and an invoice will be generated once your registration has been processed. Please ensure the invoice is forwarded to your accounts department for payment.

Confirmation
An email will be sent to you once your registration has been received and processed. If you do not receive a receipt email within 2 working days of sending your registration please contact the STAV Business Centre on 03 9385 3999.

Refund Policy: Notification of cancellation must be in writing. Cancellations made 2 weeks prior to the conference will receive a refund less 40% administration fee. There will not be any refunds for cancellations made after this date. Registrations are NOT transferrable.


Purchase Order Number	Required
A Purchase Order Number MUST be provided before you can proceed with registration.

Personal Information

Title (Mr,Mrs,Ms,Miss,Dr)	Required
First Name	Required
Family Name	Required
Position
School/Organisation	Required

Address Line 1	Required
Address Line 2
Suburb/City	Required
State	Required
Post Code	Required
Business Phone	(including area code) Required
Business Fax	(including area code)
Mobile Phone
E-Mail Address	Required
Please ensure that your email address is correct as all correspondence will be sent to this email address.
Dietary Requirements
Special Needs
STAV Individual Membership Number
This field is a required field if a member rate is selected in registration types
Gender	Male Female Required

School Section

School Type	Government Independent Catholic Other Required

School Region	Northern Metro Southern Metro Eastern Metro Western Metro Barwon South Western Gippsland Grampians Hume Loddon Mallee Other Required

First Preference - if sessions are not shown they are not available
Session A	Required
Session B	Required
Session C	Required
Session D	Required

2nd Preferences Session Selection

Please complete your preferences in the boxes below in this format or

Second Preference:	Required
Third Preference:	Required
Fourth Preference:	Required

Other Details

I heard about this event through: Required

Statement: As part of this event STAV compiles a list of participant’s contact details for communication of upcoming events. If you do not wish to be included on this list please tick this box.



Policy ::: STAV Refund Policy ::: STAV Fair Trading Policy


Registration Type		$


	TOTAL COST $		$

ICT in Science Conference Online Registration

ICT in Science Conference
Online Registration