TASMANIAN SECTION MEETING DELEGATE REGISTRATION

Preferred name for namebadge

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.


USANZ Program (Saturday) Registration

If you are a surgeon with FRACS please enter your RACS membership number


USANZ Member

AMOUNT
450.00
TOTAL
AMOUNT
510.00
TOTAL

AMOUNT
225.00
TOTAL
AMOUNT
250.00
TOTAL



Non-Member

AMOUNT
460.00
TOTAL
AMOUNT
570.00
TOTAL

AMOUNT
250.00
TOTAL
AMOUNT
275.00
TOTAL

AMOUNT
85.00
TOTAL
AMOUNT
100.00
TOTAL


If you're not attending the Saturday program please tick



Nurse/Allied Health (Friday) Program

AMOUNT
90.00
TOTAL

AMOUNT
100.00
TOTAL


Social Functions

Friday night dinner - Peppers Silo

This dinner is included in the registration fee for USANZ Program urologists and registrars attending the Saturday scientific program.

AMOUNT
0.00
TOTAL
AMOUNT
135.00
TOTAL
AMOUNT
70.00
TOTAL
AMOUNT
135.00
TOTAL

Saturday night dinner - Josef Chromy

AMOUNT
0.00
TOTAL
AMOUNT
135.00
TOTAL
AMOUNT
135.00
TOTAL
AMOUNT
135.00
TOTAL

Please indicate below whether or not you will take the coach to Saturday night's dinner at Josef Chromy.

Coach to Saturday dinner


Partner's name



Partner dietary request

Please advise if your partner has any special dietary requirements such as allergies. Please note, the venue cannot guarantee provision of a special meal if less than 72 hours’ notice is given.


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.


Payment


Thank you

Thank you for registering for the Tasmanian Section Meeting. You should shortly receive a confirmation email. If you have any questions please contact janshaw@usanz.org.au.


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