PLEASE PRINT THIS PAGE AND POST WITH YOUR CHEQUE.

If booking into Motel phone  (08) 8294 2155 ask for special convention rate, $79 per double.

 C O N V E N T I O N      R E G I  S T R A T I O N    2005

Places are limited and booking is essential. Please fill in the form below and post it with your cheque to the Convention Treasurer,
Humanist Society of S. A., G.P.O. Box 177, Adelaide, 5001

Admission Tickets and updates will be posted to you. This may take two weeks or more to insure that you get full information of any changes that might occur.

Enquiries: (08) 8255 9508, (08) 8297 3078

HUMANIST CONVENTION BOOKING FORM

Name (Please print) . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
P/code. . . . . . . . . . . . . . . .
Phone . . . . . . . . . . . . . . . . . . . . . . . . email . . . . . . . . . . . . . . . . . . . . . 
Organisation I represent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Friday night welcome (Inc. Food) No in Party . . . . @ $15.00  
AGM (members only) Inc. light lunch, tea, coffee, No in Party . . . . @ $20.00  
Convention Dinner (drinks extra) No in Party . . . . @ $40.00  
Sunday all day with lunch No in Party . . . . @ $25.00       
Sunday morning session only No in Party . . . . @ $  5.00  
Sunday afternoon session only No in Party . . . . @ $  5.00  

                                                                                                                 TOTAL   . . . . . . . . . . . 
Please add the names of all guests in your party on the back of this form.
(If you are attending all sessions a reduced rate of $50 - plus dinner $40.00 applies)
Tea, coffee, water and mints are available during all sessions.
Please post with payment to:
      The Convention Treasurer,
Humanist Society of South Australia, G.P.O. Box 177 Adelaide, 5001
| CAHS Convention Program |