Registration Form
 
 
“NSW
Minerals Exploration & Investment 2001” Conference
17
- 18 May 2001, Hilton Hotel, Sydney, Australia
 
delegate details
 
Name:                                                                                                                     Position:                                                           
 
Organisation:                                                                                                                                                                      
 
Postal
Address:
 
City/Town:
                                                                                                           State:                                                     Postcode:
 
Phone:
                                                                                                  Fax:
 
Email:
 
Registration Fees - Conference registration is
available for both days or single days.  All amounts are GST inclusive.  (Please indicate x)
 
¨      Both Days                                 (A$545)
¨      Day 1 - Thursday
17 May      (A$325)                  “Exploring
& Investing in NSW”
¨      Day 2 - Friday 18
May            (A$325)                  “Projects
& Opportunities in NSW”
 
Registration includes conference
information package, morning & afternoon teas , lunch and end of day
drinks.  
 
Payment Details:    
 
¨    Cheque - made payable to the “NSW Department of Mineral
Resources, Conference 2001”  (ABN 68 040
288 347)
¨    Please debit my credit card to the value of A$_________
 
o Mastercard  o Visa  o Bankcard  o American Express  o Diners Club  
 
Card
No:                                                                                                                                Expiry Date:
 
Cardholders  Name:                                                                            Signature: 
 
| n  3 Easy Ways to register:    2  Fax this sheet to:  (02) 
  9901 8493 +     Mail to:     Department
  of Mineral Resources                                 ST LEONARDS   NSW 
  1590 :      Email:         hutchins@minerals.nsw.gov.au   Please contact Stacey Hutchins for
  further details  |   ·      
  Delegates
  unable to attend may send a substitute delegate at any time.  ·      
  Cancellations
  received before Friday May 11 2001 will be refunded,    if requested.   No refunds will be made after this date.  However, you will receive all conference
  materials.      ·      
  A
  special accommodation rate is available, during the conference, at the Hilton
  Hotel.  Please contact the Hilton
  directly, on (02) 9266 2000  and quote
  the  “NSW Minerals Conference”.    DEPARTMENT OF MINERAL
  RESOURCES      ABN 68 040 288 347   |