Australian Circus and Physical Theatre Association

national circus + physical thetre association

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Online Registration - 2008 Australian Circus and Physical Theatre Conference

After completing the registration form online and clicking 'submit' you will receive confirmation that your registration has be processed. Click the link at the bottom of the confirmation page to proceed to Online Payment Portal. If you are paying for more than one person please complete a form for each attendee and enter the first initial and last name of each person that you are paying for with your PayPal transaction.

* Required field
Section 1 - ACAPTA Membership (select the appropriate box)

Are you an ACAPTA member?	YES	NO
Would you like to become a member of ACAPTA	YES	NO

Existing ACAPTA members please proceed to Section 2. If you would like to become a member please complete membership information in Section 4.

Section 2 - Registration Fee (check the appropriate box / boxes)
Early Bird Special! - Receive a 10% discount if you register prior to December 31, 2008. (Concession rate applies to full-time students and unemployed only. Proof of concession will need to be sighted at the conference).

Full (ACAPTA member)	$250.-	1day (ACAPTA member)	$75.-
Concession (ACAPTA member)	$200.-	1 day Concession (ACAPTA member)	$65.-
Full (non-member)	$350.-	1 day (non-member)	$100.-
Concession (non-member)	$300.-	1 day Concession (non-member)	$85.-

If a number of people from your organisation would like to attend, please email conference08@acapta.net conference08@acapta.net to discuss discount options before completing the section below.

Group Name
Number of people attending
Agreed fee per person
Group contact (name and mobile)

If you will be paying for more than one person in a single PayPal transaction please list the first initial and last name of each person you are paying for and include the fee for that individual next to their name.

Additional people I am paying for:

Section 3 - Contact Details

Title
Surname	*
First name	*
Email	*
Organisation
Position
Mailing Address
Suburb	State Post code
Telephone	*
Mobile
Facsimile

Section 4 - Supplementary Information

Interests:
	Conference Updates	Performance	Training
	Youth Circus	Social Circus	Circus in Education
	Juggling	Acrobatics	Aerial
	Circus history and research	Indigenous Circus	Insurance for Organisations

How did you hear about ACAPTA?
	Website		From a friend or colleague
	School or Uni	Other:

I would like to Join ACAPTA - remember to complete a membership form and send it to us

Individual ($15)
Youth ($5) age 17 and under
Angel ($100)

Click the "Submit" button below to proceed to a secure payment form.

*If you prefer to pay by cheque or money order download and print the registration form and post the completed form/s along with your payment to:

Conference 08
20 / 5 Blackwood Street
North Melbourne VIC 3051

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This project has been assisted by the Federal Government through the Australia Council, its arts funding and advisory body.