Australasian Raptor Association logo                           Raptors in a changing environment

ARA 2008 CONFERENCE REGISTRATION

 

 

NAME:_________________________________________________________

ADDRESS:______________________________________________________

_______________________________________________________________

CITY:____________________________ STATE:_______________________

ZIP/POSTCODE:__________________ COUNTRY:___________________

TEL:______________________________ EMAIL:______________________

 

Registration Fees (include GST):

Single (current ARA member) $120

Single (non ARA member) $150

Student (current full-time students only) $ 90

I enclose:

1) Registration Fee: $________

2) Tax-deductible Donation to Raptor Research Projects: $________

 

TOTAL: $________

 

Please pay in Australian currency (Cheque / Money order / Visa / Mastercard).

Card No: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

Expiry Date: __ __ / __ __

Cardholder Name: _______________________ Signature:_________________

Send payments to:

Amy Butcher

Birds Australia

Supporter Services

Suite 2-05, 60 Leicester Street

Carlton VIC 3053

Australia