QUESTnet '96
============

The Conference for Network Managers and Practitioners

Wednesday 3 to Friday 5 July 1996

James Cook University of North Queensland
Townsville, Queensland

========================================================================

SECTION A -- REGISTRATION

Title (Prof/Dr/Mrs/Ms/Mr)____	Family Name:____________________________

Given Names:____________________________________________________________

Preferred Name for Badge:_______________________________________________

Address:________________________________________________________________

        ________________________________________________________________

   City:______________________________ State:__________ Postcode:_______

Telephone: (    ) ____________________ Fax: (    )______________________ 

Institution:____________________________________________________________

Position:_______________________________________________________________

REGISTRATION FEES - CONFERENCE

    Earlybird (by 31 May 1996) $315
    Full (after 31 May 1996)   $375

                               Amount transferred to Section G: $_______

For catering purposes, please complete the following:

    [ ] Yes -- I will be attending the Nightcap get-together

    [ ] Yes -- I will be attending the Conference Dinner 

    [ ] Yes -- I will be attending the Billabong Sanctuary BBQ 

========================================================================

SECTION B -- PRE-CONFERENCE TUTORIAL REGISTRATION

I will be attending a pre-conference tutorial on Tuesday, 2 July 1996,

commencing at 9:00 a.m., as indicated hereunder:

    [ ] Configuring Cisco Routers

    [ ] Security

REGISTRATION FEES - PRE-CONFERENCE TUTORIAL

    Fee for each tutorial: $100

                               Amount transferred to Section G: $_______

========================================================================

SECTION C -- ACCOMMODATION

   University Hall (bed and breakfast):

      Arrival Date:__________________  Departure Date:__________________

          Please reserve _____ nights at $35 per person $_______

   Hotel or Motel (room only)

      Arrival Date:__________________  Departure Date:__________________

          First choice___________________________________       

          Second choice__________________________________       

          Third choice___________________________________       

          Please reserve _____ nights Sngl [ ]  Twin [ ]  Dbl [ ]

                                      at $_____per room $_______

                               Amount transferred to Section G: $_______

[ ]  I am making my own accommodation arrangements

========================================================================

SECTION D -- GUEST TICKETS

    Nightcap Get-together:
   
        Please reserve _____ guest tickets at $19 each $_______

    Aquarium Visit and Conference Dinner:
   
        Please reserve _____ guest tickets at $65 each $_______

    Visit to AIMS and BBQ Dinner at Billabong Sanctuary
   
        Please reserve _____ guest tickets at $40 each $_______

                                               TOTAL:  $_______

                               Amount transferred to Section G: $_______


========================================================================

SECTION E -- OPTIONAL DAY AND HALF-DAY TOURS

Event  No. of Persons      Date      Deposit (50%)

A1/B1      _____       ___/___/1996    $_______

A2/B2      _____       ___/___/1996    $_______

A3/B3      _____       ___/___/1996    $_______

A4/B4      _____       ___/___/1996    $_______

                               TOTAL:  $_______

                               Amount transferred to Section G: $_______


========================================================================

SECTION F -- PRE- AND POST-CONFERENCE SCENIC TOURS

 Tour  No. of Persons      Date      Deposit (50%)

  C1       _____       ___/___/1996    $_______

  D1       _____       ___/___/1996    $_______

  D2       _____       ___/___/1996    $_______

                               TOTAL:  $_______

                               Amount transferred to Section G: $_______


========================================================================

SECTION G -- FEES SUMMARY AND PAYMENT DETAILS

    From Section A -- Registration                              $_______

    From Section B -- Pre-Conference Tutorial                   $_______

    From Section C -- Accommodation                             $_______

    From Section D -- Guest Tickets                             $_______

    From Section E -- Optional Day and Half Day Tours           $_______

    From Section F -- Pre- and Post-Conference Scenic Tours     $_______

                                            Total Payment Due:  $_______


[ ]  Please find herewith [ ] cheque 
                          [ ] purchase order
	payable to Conference and Events Management Townsville
	for fees due as above

OR

[ ]  Please debit my

	[ ] Bankcard	       [ ] MasterCard		[ ] Visa Card

	with an amount of $_______

	Card No. ______ ______ ______ ______ Expiry Date: ____/____/____

	Name as per card: ______________________________________________

               Signature: _________________________ Date: ____/____/____

========================================================================

Please send the completed form, by post, fax or e-mail, to:

	Conference and Events Management
	P.O. Box 771
	Townsville   Qld   4811
		Phone: 1 800 811 904
		       (077) 21 2377
		  Fax: (077) 21 4936
	       E-mail: conf+eve@internetnorth.com.au