Expression of Interest

If you are interested in participating in the IBCC2011 Conference, please complete the Expression of Interest Form below. Your information will be sent via email to the Conference Secretariat.

The form below has a 'submit' link to sally.brown@uq.net.au. Should you have difficulty for some technical reasons, kindly copy and paste the following information into your email and send to the conference manager, sally.brown@uq.net.au.

EXPRESSION OF INTEREST FORM

Title:	[req]
First Name:	[req]
Surname:	[req]
Organisation:
Position:
Address Line 1:	[req]
Address Line 2:
Address Line 3:
Suburb/Town:	[req]
State:
Country:
Postcode:
Telephone (work):	[req]
Facsimile:
Mobile:
Email:	[req]
I WOULD BE INTERESTED IN:
Presenting a paper
Yes No
If yes, please state title of proposed paper:
Presenting a poster
Yes No
If yes, please state title of proposed poster: Opportunities for poster presentations are limited.
Enter the code above: