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Sydney, Australia
December 2, 2004
Swissotel Sydney
All fields are required unless marked with a "*".
Name, Title and Company will appear on badge as submitted. |
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Name
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Title
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Company/Affiliation
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Address
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Address*
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City
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State/Province*
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Zip/Postal
Code
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Country
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Telephone
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Facsimile*
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E-Mail
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Registration
Fee:
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ACTE Member $29 USD
Non-Member $59 USD
Non-Member Joining $345 USD
Complimentary $0
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If registering as a comp, please include "code")
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Payment:
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Check
American Express
Diners Club
MasterCard
Visa |
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Cardholder
Name
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Card
Number
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Expiration
Date
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(Please note - all cheques must be in US Dollars and made payable to ACTE.
Mail your cheque to ACTE 333 North Bridge Road, #05-00, KH KEA Building, Singapore 188721)
You may submit this form online by Fax: (65) 6728 3863 or
Mail: ACTE 333 North Bridge Road, #05-00, KH KEA Building, Singapore 188721.
You may call (65)6728 3863 for questions or more information or email: [email protected].
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