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Feeding, Feedback, and Fireworks: Celebrating Our Cosmic Landscape

Hamilton Island, Queensland, Australia, 24 - 28 June 2013

Registration and Presentation request

Registration is open from December 10th, 2012 and closes on 15th May 2013.
The deadline for talk requests is 30th March, 2013.
The deadline for poster presentations is 15th May 2013.

The conference fee is AUD 450 and will cover the conference dinner, morning and
afternoon coffee breaks, lunches, a reception on Sunday evening and a welcome package.

Payment of registration fees is due by May 15th, 2013. Only Credit Card transactions are accepted.
The Payment Form can be downloaded in PDF or DOC formats and
must include the Invoice Number which is generated during the registration process.

Some important information regarding Payments can be found in the Procedure for Payments webpage.

NOTE: (*) Asterisk denotes fields that must be completed.

Personal Information

Title:
* First Name (standard characters only #):
Middle Name:
* Last Name (standard characters only #):
* Institute:
* Country:
* E-mail:
Phone (including country code):
Mobile Phone during conference:
Position:

# If your name requires special characters (Á, ë, ø, ñ, etc), please describe in the comments box below.

Social Events Information

--- Conference Dinner

The cost of the conference dinner is included in the registration fee for registered participants.
Additional guests are welcome to attend the dinner at a cost of AUD 115 per person, to be paid in advance using the Payment Form
(see the Procedure for Payments webpage for details).

* Attending conference dinner?

	Yes
	No

If yes, number attending (including registered participant):	1		2		3
	4		5		6

--- Excursion to the Great Barrier Reef

We are organizing a group excursion to the Great Barrier Reef on Saturday 29th June.
The full day event costs AUD 168 per person, to be paid in advance using the Payment Form (see the Procedure for Payments webpage for details).

Please indicate if you are interested in participating in this event. You can get more details of this excursion in the trip to the Great Barrier Reef webpage.

* Participating in excursion to the Great Barrief Reef?

	Yes
	No

If yes, number attending (including registered participant):	1		2		3
	4		5		6

Talk Information (please use TEX format)

NOTE: Please if you intend to give a presentation in the Conference,
DO NOT submit your registration form without including the title / abstract of your talk / poster.

* Do you want to give a presentation?	Yes	No
* Talk or poster?	Talk	Poster	N/A
* If not accepted as an oral
presentation, do you want to present a poster?	Yes	No	N/A

Talk Title (use TEX format):

Co-authors (use TEX format):

Abstract (use TEX format):

Please enter any further comments here (e.g. special dietary requirements, special characters in name):

* Finally, please prove you are a human being typing the 4th word of the title of this conference in CAPITAL LETTERS:

As a confirmation that your submission was successful, a summary of your submitted details will be displayed that can be saved and/or printed.
Within few days you will receive an email from us confirming that your registration was successful.

Please send any queries to: fireworks13.

The conference is supported by the following institutions:

Australian Astronomical Observatory (AAO)	CSIRO Astronomy and Space Science (CASS)

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