Convention Online Registration Form

Preliminary Notes

FULL - registration includes all delegate activities and handouts (including mug),

and up to 31 May 2017 the Early-Bird discount of $40 is applied

STUDENT- (Full-Time under 18) registration includes all delegate activites and handouts

PARTNER- registration includes Welcome Reception, Saturday Banquet, bus transport costs and polo shirt option
- This is an interactive form; items are displayed to suit registration categories.
- Only tick check boxes that you require.
- Items marked with an * must be answered.
- Last day to order a Polo Shirt with pocket - 31 July 2017.
- A FULL registrant may, for a partner not registering for the Partners Program , pay extra for partner to: 1) attend Thursday evening Welcome BBQ & Reception, and/or 2) attend the Saturday evening Banquet.
- Brisbane 2015 Convention attendees will receive a $25 refund on arrival.
- Feedback lists for interests for Clinics, Workshops, Forums and Partners Program.
- A text box is included to advise of Special Dietary Needs .
- Emergency medical and contact information in a sealed envelope with your name on it may be lodged on arrival (will be destroyed when convention has finished). Form may be downloaded.
Back-tracking to change an earlier answer may cause calculation errors. It is better to cancel out and restart the registration if a calculation error occurs.

If any problems, email conv2017@nscale.org.au
Name *

First Name Last Name
Badge Name
Optional: Badge Prototype Interest(s)
eg, NSW, UP, Canadian, British, etc

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *
Mobile Phone
Phone
Download Personal Emergency Details Form

Y
Select No for the next question if you wish to submit a Partner or Student registration.
FULL Registration *

Yes No
Cannot tick both check boxes. REVIEW
Other Registration

PARTNER $100 STUDENT $100
More than one registration type selected.

GO BACK to Other Registration
Rego Category Price
Price Sub-Total
Special Dietary Needs

Y
Enter dietary needs
Will you be completing a Partner registration? *

No Yes
Surname/Family name of partner if different to yours
Did you attend the N Convention held in:

Sydney 2011 Melbourne 2013 Brisbane 2015
Polo Shirt WITH POCKET $35

Y
Last day to order a Polo Shirt with Pocket - 31 July 2017
Polo Shirt Size: *

S 4K 8 M 6K 10 L 8K 12 XL 10K 14 2XL 12K 16 3XL 14K 18 4XL 20 5XL 22 24
Cannot tick more than one shirt size, select ONE only.

(only one will be included in the grand total cost)
Price Sub-Total
Optional: SteamRanger Depot Tour, Mount Barker (Thursday afternoon) $30

(Flinders Ports tour, Port Adelaide replaced - cancelled by Flinders Ports company)

Includes tour cost and transport costs from the convention venue.
SteamRanger Depot Tour $30

Y
Must register before noon on the Thursday to travel on the bus. Flinders Ports tour is for our bus travellers as our public liability insurance only covers those travelling on the bus.
Price Sub-Total
Attend Welcome BBQ & Reception (included in registration cost)?

Y
Extra Welcome Reception attendee $15

Y (if guest NOT registered for Partner Program)
Price Sub-Total
Optional: Fuel tank kit to assemble at Convention workshop or assemble at

home. (assembled kit shown below)
Fuel Tank Kit $15

Y
Price Sub-Total
Entering a Model(s) in the Competition?

Y
The competition entry forms and information sheet may be downloaded from the website at any time OR now, if you wish, by clicking on the links below.
Will you be bringing a T-TRAK module?

Y
Clinic/Workshop/Forum Interests:

Spray painting Weathering Decalling 3D Design Card Structures Design Signage: Setting the Era Loco Maintenance DCC/Sound Introduction DCC/Sound Advanced JMRI Servo Control Forum - Free-moN Forum - Australian Forum - British Forum - Nth American Forum - European/Asian Other
Suggestions for Other:
Partners Program, Tick your Interests:

Victor Harbor & Granite Island ($9 horse tram) Port River Dolphin Cruise ($8, 2 hrs, $20 inc. meal) Tour of the Adelaide Oval ($22/$17, 1 hr) Haigh's Chocolate Factory (city) Glenelg Tram & O-Bahn Busway Southern Vales Wineries Historic Hahndorf Shopping Trip Other
Other suggestions:
Take a Clinic? (we will follow-up if selected)

Y
Attend Saturday evening Banquet {included in registration cost}?

Y
Extra Banquet attendee $50

Y (if guest NOT registered for Partner Program)
Extra Banquet Attendee Special Dietary Needs

Y
Enter dietary needs (for Extra Banquet Attendee)
Price Sub-Total
Optional: Visit to the National Rail Museum (Monday) $30

The National Rail Museum (NRM) is located at Port Adleaide.

Price includes NRM entry fee and transport costs from convention venue.
National Rail Museum visit $30

Y
Price Sub-Total
Optional: Self-Drive layouts tour (Monday)

Y
Registration PriceTotal
The following question is included to reduce false submissions. A choice of three correct three digit values (1.. no other characters) is required to continue.
What is the scale of N scale? - 1/??? *
(1??)
Payment options do not display until the scale of N scale digits are entered.

PAYMENT NOTE - PayPal charges NSCA a fee of 2.6%+30c for transaction. We would appreciate if you could pay via Direct Debit (EFT) if possible.

PayPal option only activates after Submit is selected.

Credit/Debit Card Selection Problem - Select PayPal FIRST and then immediately select the 'Pay with Credit or Debit Card' option near the bottom of the PayPal page. (the PayPal option has been preselected for you)
Payment Method *

Direct Debit (EFT) PayPal or Credit/Debit Card
Direct Debit (EFT) payment details:

Bank: xxx xxx

Acct No: xxxx xxxxxx

Acct Name: N Scale Conventions Australia Ltd

Reference: your name
Confirmation of Registration with a 1-page summary of input details attached will be by an immediate auto-reply to your email address.

Select 'Print Form' before selecting 'Submit' if you wish to print check your selections prior to submission. (it will be 4-5 pages)
Thank you for registering

The Adelaide Convention Committee
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