ATNF Synthesis Imaging Workshop

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Registration fee Cost $60:
Late fee (after 24/8/98). Cost $10:
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Cabin share (up to 5 people):
Motel room share (2-3 people):
Sharing with:	or leave blank if you don't mind with whom.
Individual room	single or double
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Transport:
Estimated dates & times:	Arrival Departure
Accompanied by:
Would you be using the CSIRO bus from and to Sydney?
Bus fare $50:
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Do you require student travel assistance:	If Yes then specify e.g. CSIRO bus to Narrabri
Do you require student accommodation assistance:	If Yes then specify e.g. 5 nights, Mon-Fri
Could you please write a few lines to justify the assistance?
Are you receiving any other assistance:

Students requesting assistance will be advised of the amount granted before the Workshop.
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If paying by Credit Card fill in the Following:
Please charge my:
The sum of $
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Expiry Date
Name on card

Signature (if posting or faxing):

If paying by cheque make payment to "Astronomical Synthesis Imaging Workshop" and mail to: Joanne Houldsworth Locked Bag 194, Narrabri, NSW 2390, AUSTRALIA Credit card payments may be faxed on (02) 6790 4090 Email to: synthesis@atnf.csiro.au

Australia Telescope National Facility