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BUILDING THE TERRITORY


On Line Registration
 18th AFMLTA Biennial Conference
hosted by
Language Teachers’ Association of the Northern Territory
Wednesday 6 to Saturday 9 July 2011
* Required













Early Bird Registration $550 (available until 31/03/11)
Standard Registration $650
One Day Registration $330

Yes - I'm a paid member of LTANT to be verified by LTANT Conference Committee
No

Professor
Associate Professor
Primary School Teacher
Middle School Teacher
High School Teacher
Tertiary
Student
Researcher
Publisher
Bookseller

Yes
No

Yes thanks
No thanks

Vibe Hotel Standard room $250 per night
Medina Grand Darwin $275 per night
City Palms Resort $TBC per night
Darwin Central $TBC per night
Crowne Plaza Darwin $250 per night
Value Inn $TBC per night



Credit Card
Direct Deposit






Please debit my credit card for both my conference registration and accommodation fee (plus credit card fee)
Please debit my credit card for my registration fee only (plus credit card fee)




Yes thanks
No thanks


I understand the information within this registration

Should you require further information regarding this online registration form please call DREAMEDIA EVENTS to discuss this with one of the event managers on 08 8941-9111

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