Registration

Sustainable Energy Day2002

Please mail or fax to Ms. Sarina Kennedy at the Department of Electrical & CSE, Monash University, Clayton, Victoria, 3800, Fax: 03-9905-3454

Family Name:

First Name & Title:

Firm or Organization:

Postal Address:

Post Code:

Tel.:

Fax:

Email:

(Cost of this event is $165.00. People who are member of the following institutions (please specify) need only pay $125.00. Student: $65 (Valid ID is required)

o ANZSES o IEEE o IEE o IEAust. o AIE o ATA o SLF

Payment

Amount: A$

oCheque payable to Monash University,

Solar Energy Applications Research Group

oCredit Card: Master Card, Visa, Bank Card

Card number:

Name on card:

Valid until:

Signature: