2019 Round Table Conference Organisation Registration 2019 Organisation Registration Form Notice for Jaws Screen Reading Software Users There is a recognised problem between JAWS and Internet Explorer that causes the word "region" to be spoken on each form field, immediately before the field name is spoken (such as First, Last, E-mail etc). If you find this annoying try setting JAWS Verbosity to “advanced” or use a different browser.Organisation Registration detailsThe new organisation registration allows the registration to be shared amongst work colleagues. PLEASE NOTE: A separate form must be completed for each 3 or 4 day package. Only one staff member per day is allowed. Organisation* Primary Contact* First Last Email* Enter Email Confirm Email Preferred Phone Number*Including area code, and if outside Australia, country code. Alternative Phone NumberIncluding area code, and if outside Australia, country code. Staff Attending Conference*Please enter staff names and the day/s they will be attending conference.Name for Conference Badge*Please enter staff name as you would like printed on the conference badge. Name for Conference Badge*Please enter staff name as you would like printed on the conference badge. Name for Conference BadgePlease enter staff name as you would like printed on the conference badge. Name for Conference BadgePlease enter staff name as you would like printed on the conference badge. Postal Address (line 1)* Postal Address (line 2) Town/City* State/Province* Postcode* Country* If you would like to register a partner to attend the Conference Dinner or Welcome Function a separate registration must be completed. Please return to the Round Table web site and complete a registration form for your partner after submitting this form. Conference InformationIn order to reduce our environmental footprint, the Round Table Conference is a ‘Paperless Conference’. Conference information will be supplied in accessible electronic formats: - by email to your nominated email address, one week prior to the conference. - for downloading prior to and at the conference (wifi access, within the function area, is included in your conference registration). If for any reason, you are unable to access this information please contact the Administration Officer by email at admin@printdisability.org. If you require documents, other than those listed below, in alternate formats please feel free to contact us and discuss your requirements. Please consider the environment and order only the information you require in braille or large print. Please indicate if you require the following information in braille Conference Program Delegates Contact List Venue Information Round Table AGM Documents ABA Annual Meeting Documents Please indicate if you require the following information in large print Conference Program Delegates Contact List Venue Information Round Table AGM Documents ABA Annual Meeting Documents Accessibility RequirementsPlease Note: Accessibility requirements may not be able to be considered after 5 April 2019. Venue Orientation Guide Dog Facilities Audio Assistance Wheelchair Access Other (please provide details below) If required please provide specific accessibility requirements for each staff member.Dietary RequirementsPlease provide details of any special dietary requirements. Vegetarian Vegan Diabetic Gluten Free Other (please provide details below) If required please provide specific dietary requirements for each staff member.Membership Status*Please enter your membership statusI am a Round Table memberI am not a Round Table memberConference registration packages (Round Table members)4 day conference registration ($795.00)3 day conference registration ($680.00)Conference registration packages (Non-Round Table members)4 day conference registration ($975.00)3 day conference registration ($890.00)Round Table Members Attendance - 4 day package* IMPORTANT: Please check ALL the days and events you will be attending from the selection below. Saturday Sunday Monday ABA Workshop (Monday) Tuesday Conference Dinner Welcome Function AGM Non-Round Table Members Attendance - 4 day package* IMPORTANT: Please check ALL the days and events you will be attending from the selection below. Saturday Sunday Monday ABA Workshop (Monday) Tuesday Conference Dinner Welcome Function AGM Round Table Members Attendance - 3 day package* IMPORTANT: Please check ALL the days and events you will be attending from the selection below. Saturday Sunday Monday ABA Workshop (Monday) Tuesday Conference Dinner Welcome Function AGM Non-Round Table Members Attendance - 3 day package* IMPORTANT: Please check ALL the days and events you will be attending from the selection below. Saturday Sunday Monday ABA Workshop (Monday) Tuesday Conference Dinner Welcome Function AGM Social Events Registration*Do you wish to register extra work colleagues to attend the Welcome Function or Conference Dinner? No Yes Extra Social Events RegistrationEach 3 or 4 day package includes one registration to the Welcome Function and Conference Dinner. A separate invoice will be sent for the extra social event registrations.Total $ 0.00 Permission To Share Contact DetailsIn registering for this Conference, relevant registration details (name/organisation/email address and phone number) will be incorporated into a delegate list for the benefit of all delegates, and may also be made available to parties directly related to the Conference. By registering, delegates consent to the collection, use and disclosure of information provided in this registration form in accordance with and for the purpose outlined above. When registering for the conference delegates also give permission for Round Table on Information Access for People with Print Disabilities to use their name and photographs taken at the conference on the Round Table website and in any Round Table publication. IMPORTANT: If you DO NOT AGREE the above please indicate by selecting the appropriate option below: I do not consent to the collection, use and disclosure of information provided in the registration form in accordance with and for the purposes outlined above. I do not give permission for Round Table on Information Access for People with Print Disabilities to use my name and photographs taken at the conference on the Round Table website or in Round Table publications. Conference Accommodation - Please book directly with the venue Rydges South Bank Cnr Grey & Glenelg Streets South Brisbane QLD 4101 Australia Special Direct Link: Bookings can be made directly via this link: https://www.rydges.com/private-page/round-table/ or via Email or Phone: Please quote code 1905VISABI to access the special conference accommodation rates and advise you are part of the Round Table on Information Access group. Reservations Office (available 9am-6pm Monday-Saturday): Phone: Tel: (07) 3364 0800 or from overseas +61 7 3364 0800 Email: reservations_rydgessouthbank@evt.com Bookings must be made direct with the hotel by Tuesday, 2 April 2019 in order to access the special accommodation rate. All bookings are subject to availability. Please notify the staff at the hotel of any special requirements at the time of booking.Please refer to the Round Table website for more details.www.printdisability.org Payment Methods*Credit Card or PayPalIf you select Credit Card/PayPal you will be re-directed to the payment page on the PayPal website where you can either use your PayPal account to pay or pay by credit card without signing up for a PayPal account. Direct deposit to Round Table’s bank account at the National Australia Bank Swift Code: NATAAU3303M (where applicable for overseas transfer) BSB Number: 083 522 Account Number: 45 742 1243 Account Name: Round Table on Information Access Please clearly identify your deposit with the name of your organization. Credit Card or PayPalDirect Credit to Round Table Bank AccountOnce you have submitted your registration please do not close your browser until the registration is complete and an acknowledgement appears. Last updated: September 26, 2018 at 12:51 pm
