Post Conference Tour Booking Form - Please complete one form per person

Please ensure you have read the ‘Pre & post Tours’ section of the conference website -www.aicomos.com/2010-outback-and-beyond/- specifically the ‘inclusions’, ‘exclusions’ and ‘what to bring’ sections.

Name:

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POST ‘SWAG’ TOUR $450.00 per person

The tour will depart Broken Hill at 8.30am sharp on Monday 26th April and conclude at approximately 3.30pm on Wednesday 28th April in Mildura (central location). Note that the first day of the tour commences and concludes in Broken Hill and as such you must arrange your own accommodation in Broken Hill (at your own expense) for Monday night. On Tuesday night you have the option of staying at Mungo Station Shearers Quarters (included in tour although own sleeping bag and pillow required) or Mungo Lodge (at own additional expense). Mungo Lodge bookings must be made direct to the Lodge by contacting Jacques & Catherine Barichard on 03 5029 7297 or E: or W: www.mungolodge.com.au. We can arrange a ‘basic’ sleeping bag (which will be yours to keep) for an additional charge of $40. Please include this amount in payment section if required.

Please note any special dietary* or access requirements:
*Note – catering facilities are limited so only basic dietary requirements can be catered for

Payment Section Amount being paid

Post conference Tour $450.00 $

Sleeping bag for post conference Tour (yours to keep) $40.00 $

TOTAL AMOUNT BEING PAID $

Payment method (please tick)

Cheque – made payable to ‘Australia ICOMOS’ and posted to address below

EFT – BSB 062 901 Acc 1011 2714 – Use your surname as reference

Credit Card – card details as follows:

Card number / / / Exp Date /

Name on Card Card Type

Send completed form with payment details to: P – 02 6023 6300

ICOMOS Conference F – 02 6023 6355

PO Box 5013, ALBURY NSW 2640 E –

Disclaimer: By completing and submitting this form you are deemed to have read the ‘Pre & post Tours’ section of the conference website -www.aicomos.com/2010-outback-and-beyond/- specifically the ‘inclusions’, ‘exclusions’ and ‘what to bring’ sections. Tours are organised separately to the Conference and can only proceed with a sufficient number of bookings. A final decision will be made on Wednesday 25 March and you will be advised immediately if tours have to be cancelled due to insufficient numbers.