Australian Delphi User Group

(Note: Items marked with an asterisk * are required)

* *Surname *Initials

Informal name (eg. Dave)

*E-mail address << Please double check this!

Telephone BH
Telephone AH

*Postal address (to appear on invoice - and for delivery)

*State *Country *Postcode

*This is my employer/company address

Employer/Company name

	I am not an ADUG member and elect to pay the full $155 fee
	I am already an ADUG member (number given below) and wish to pay the discounted fee of $105
	I wish to apply to join the ADUG and pay the discounted fee of $105 plus $60 joining fee (includes first year's membership subscription) making a total of $165

Prices above include P&P and GST

ADUG member number (for current members only)