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APS&E '03 Registration Form & Tax Invoice
Tax Invoice ANU ABN: 52 234 063 9
All prices are gst inclusive

This form cannot be submitted online. Please type in your information, choose your preferences and print this form from your web browser and send it to:

Gary France - Coordinator of Percussion Studies

National Institute of the Arts
Bldg 105B

The Australian National University

Acton A.C.T. 0200

Telephone: (02) 6125-5753

Email: gary.france@anu.edu.au

Personal Details
Title (Prof/Dr/Mr/Mrs/Ms/Miss) Surname Firstname

School Address

City State Pcode

Country Phone (work) Phone (ah)

Fax Mobile Email

Website

May we use your email address for future correspondence? Yes No

I am a Student Academic Professional Musician Other

STUDENTS:
Student ID No Institution

Name of Teacher

Course Years Completed

ACADEMICS/PROFSSIONALS:
Institution/Group Position

SCHOLARLY PAPER PRESENTATION: (Honours projects, Masters / PHD thesis, other interesting presentations)
Title of presentation

Length of presentation

50 word abstract:

EISTEDDFOD REGISTRATION: Please register me for the following catagories

EVENT	PIECE/S FOR PERFORMANCE
Open Marimba
Open Vibraphone
Solo Multi-Percussion
Open Duets & Trios
Synergy Chamber Ensembles (4 - 6 pl. unconducted) (please list players involved - player 1 = Group Leader) pl.1 pl.2 pl.3 pl.4 pl.5 pl.6
Mock Symphonic Audition

Payment Details (all prices include GST)

Tax Invoice ANU ABN: 52 234 063 9
All prices are gst inclusive

Registration fee
(includes banquet and all concerts)
$165

$

Accommodation
Adult nightly rate: $65.00 all meals inclusive, Adult nightly rate: $55.00 bed and breakfast, Student nightly rate: $55.00 all meals inclusive, Student nightly rate: $45.00 bed and breakfast,

required: Sun Mon Tues Wed
Thurs Fri Sat
$65/$55/$45ngt
x night/s =

$

Banquet alone

$25

$

Daily Registration Fee
(Does not include banquet)

Mon Tues Wed

Thurs Fri Sat

$40/day x day/s =

$

Individual Lunch Time Concerts
ANU Arts Centre
$10 each or
$5 concession

Mon Tues Wed

Thurs Fri

X no. of concerts =

$

Individual Evening Showcase Concerts
ANU Arts Centre
$10 each or
$5 concession

Mon Tues Wed

Thurs Fri

X no. of concerts =

$

Grand Finale Concert alone
Llewellyn Hall
$10 each or
$5 concession

For details of all concerts, please consult the APS&E Daily Schedule

$

Total payment enclosed

$

Will you be attending the banquet? (banquet is included in the registration fee) Yes No

Method of Payment
*Cheque Visa Bankcard Mastercard Money Order Other_______________
(*Cheque to be made payable to: AUSTRALIAN NATIONAL UNIVERSITY)

Cardholder Name

Card Number ---

Expiry Date / / Total Amount Authorised $

Signature ...........................................................................................................

APS&E '03	About Gary France	About the department	Audition info	Courses	Email Gary France	Enrolments
Home	Links	Menu	O/seas & International	Recordings	Reviews	Young Persons Concerts

Mike Nelson

Registration fee (includes banquet and all concerts)	$165		$
Accommodation Adult nightly rate: $65.00 all meals inclusive, Adult nightly rate: $55.00 bed and breakfast, Student nightly rate: $55.00 all meals inclusive, Student nightly rate: $45.00 bed and breakfast,	required: Sun Mon Tues Wed Thurs Fri Sat	$65/$55/$45ngt x night/s =	$
Banquet alone		$25	$
Daily Registration Fee (Does not include banquet)	Mon Tues Wed Thurs Fri Sat	$40/day x day/s =	$
Individual Lunch Time Concerts ANU Arts Centre $10 each or $5 concession	Mon Tues Wed Thurs Fri	X no. of concerts =	$
Individual Evening Showcase Concerts ANU Arts Centre $10 each or $5 concession	Mon Tues Wed Thurs Fri	X no. of concerts =	$
Grand Finale Concert alone Llewellyn Hall $10 each or $5 concession	For details of all concerts, please consult the APS&E Daily Schedule		$
		Total payment enclosed	$