DELEGATE REGISTRATION

Title - please select

First name

Last name

Affiliation (hospital/practice)

Position

Verify email address

Work Tel.

Mobile

Address line 1

Line 2

Line 3

City/Suburb

State - select from list

Postcode

Country - if not Australia

Preferred name for namebadge

First name

Last/Family name

Dietary requirements

Please advise if you have any special dietary requirements such as allergies. If your requirement isn't listed, select "Other" & type into the box that appears.
Please note, the venue cannot guarantee provision of a special meal if less than 72 hours’ notice is given.

Other

USANZ Program (Saturday) Registration

If you are a surgeon with FRACS please enter your RACS membership number (does not apply to SET Urology Trainees)

RACS ID No.

Not attending Sat program FULL

USANZ MEMBER

USANZ Member Urologist Early FULL

AMOUNT

450.00

TOTAL

USANZ Member Urologist Standard FULL

AMOUNT

510.00

TOTAL

USANZ Member Trainee / SIMG Early FULL

AMOUNT

225.00

TOTAL

USANZ Member Trainee / SIMG Standard FULL

AMOUNT

250.00

TOTAL

USANZ Retired Member Complimentary FULL

AMOUNT

0.00

TOTAL

NON-MEMBER

Urologist Early FULL

AMOUNT

510.00

TOTAL

Urologist Standard FULL

AMOUNT

570.00

TOTAL

Registrar / JMO / SIMG Early FULL

AMOUNT

275.00

TOTAL

Registrar / JMO / SIMG Standard FULL

AMOUNT

300.00

TOTAL

Other surgical / medical professional - Early FULL

AMOUNT

510.00

TOTAL

Other surgical / medical professional - Standard FULL

AMOUNT

570.00

TOTAL

Nurse / Medical Student Early FULL

AMOUNT

95.00

TOTAL

Nurse/Medical Student Standard FULL

AMOUNT

110.00

TOTAL

Nurse/Allied Specialty Education Day (Friday)

Nurse / Allied Specialty Early FULL

AMOUNT

75.00

TOTAL

Nurse / Allied Specialty Standard FULL

AMOUNT

90.00

TOTAL

Attendance at Saturday exhibition

Nurses are welcome to attend the USANZ program industry exhibition being held on Saturday 7 November at Crowne Plaza Hotel. If you'd like to attend, please tick the box below and further information will be provided closer to the event.

I would like to attend the Sat exhibition

SOCIAL FUNCTIONS

Friday night networking function - The Deck, Crowne Plaza

Fri, Nov 6, 2026 6:00 PM - 8:00 PM

The Reception is a networking function that includes 2 hours of food & beverage service (it is not a sit-down dinner).

I won't attend this function

Number Of

Urologist/SET Trainee FULL

AMOUNT

0.00

TOTAL

Number Of

Retired USANZ member FULL

Please add me to the waitlist

AMOUNT

95.00

TOTAL

Number Of

Non-Member Registrar FULL

AMOUNT

0.00

TOTAL

Number Of

Nurse/Allied Specialty FULL

Please add me to the waitlist

AMOUNT

70.00

TOTAL

Number Of

Partner FULL

Please add me to the waitlist

AMOUNT

95.00

TOTAL

If you don't yet know who your partner will be, please tick the box for "Name to be confirmed"

Saturday night dinner - Rockwall Restaurant

Sat, Nov 7, 2026 7:00 PM - 10:00 PM

This dinner is for USANZ members (Urologists and SET Trainees) registered for the Saturday program and their partners.
Tasmanian (non-member) Registrars may also attend.

I won't attend this function

Number Of

Urologist/SET Trainee FULL

Please add me to the waitlist

AMOUNT

0.00

TOTAL

Number Of

Retired USANZ Member FULL

Please add me to the waitlist

AMOUNT

145.00

TOTAL

Number Of

Tasmanian Registrar FULL

Please add me to the waitlist

AMOUNT

0.00

TOTAL

Number Of

Partner FULL

AMOUNT

145.00

TOTAL

If you don't yet know who your partner will be, please tick the box for "Name to be confirmed"

Booking Summary

Please check all details and edit as required.

Please read the following Terms and Conditions and tick "I agree" at the bottom to proceed to payment.

I agree

Payment

Thank you

Thank you for registering for the Tasmanian Section Meeting. You should receive a confirmation email within 10 minutes. If you don't receive an email, or if you have any questions, please contact the organiser: janshaw@usanz.org.au.

Continue

TAS 2026 Delegate Registration

DELEGATE REGISTRATION

Preferred name for namebadge

Dietary requirements

USANZ Program (Saturday) Registration

USANZ MEMBER

NON-MEMBER

Nurse/Allied Specialty Education Day (Friday)

Attendance at Saturday exhibition

SOCIAL FUNCTIONS

Friday night networking function - The Deck, Crowne Plaza

Saturday night dinner - Rockwall Restaurant

Booking Summary

Payment

Thank you