Registration

All participants for the ANTSEL Video Online Conference, to be held 18-31 August 2008, are required to complete the following registration details. The conference website address will be emailed to you two weeks before the conference starting date. A confirmation email of your registration will not be sent on completion of this registration form. If you require further information, please email the conference manager at brydon@cybertext.net.au

	First Name*
	Surname*
	School/Organisation*
	Professional Role*
	Street Address*
	Address (cont.)
	Town/Suburb*
	County/State/Province*
	Postal Code/Zip
	Country*
	Email*
	Are you a member of ANTSEL	Yes No
	How did you find out about this event?*
	* Entries are required in these fields