Perfusion Downunder

2008

Home
Welcome Letter
Mission Statement
Meeting
PDU Collaboration
Past 2007 Meeting
Past 2006 Meeting
Past 2005 Meeting
Organising Committee
Contacts

   Home >Meeting >Register


The Heritage Queenstown New Zealand
The Heritage Queenstown New Zealand
Location of the Winter Meeting 2005, 2006 and 2008

REGISTRATION

Heritage Hotel Queenstown
 August 7th, 8th, 9th, & 10th, 2008


If you do not wish to register online ...
Go To..Printer friendly page...page!
Register early as numbers may be limited
due to capacity of venue

ONLINE FORM


*Fields marked with an asterisk (*) MUST be completed to send form!

Title:
 * First and Last Name
* E-Mail address:
* Telephone Number:
* Qualifications:
* Department:
* Hospital/Centre:
* State/Province:
 * Country:
* Address:
Facsimile Number: 
Companion's Name:


* Registration Fees (Please tick all that apply)
$AUD 595.00    - Full Registrant - Perfusionist¹
$AUD 450.00    - Subsidised Registrant - Student Perfusionist¹
$AUD 595.00    - Full Registrant - Scientist/ Surgeon/ Anaesthetist/ Nurse/ Allied Health¹
$AUD 395.00    - Companion Registration ²
NB: All registrations received after 12th July 2008 will be $AUD695.00


* Will you be attending Sponsored Activity? ($AUD 50.00 per person)
Yes   No   Two People  
 (Subsidised by Cellplex Pty Ltd)
¹ Registration fee includes Thursday Night - pre-registration welcome drinks / Friday - breakfast, lunch & cocktail party dinner / Saturday - breakfast, lunch & formal dinner / Sunday - breakfast
² Registration fee includes Thursday Night - pre-registration welcome drinks / Friday - lunch & cocktail party dinner / Saturday - lunch & formal dinner
Payment Information
 ** Payment by Cheque:
(Please send cheque within 7 days or online application will be invalid!)

Cheques in Australian Dollars and made payable to:-
"Perfusion Downunder Pty Ltd"

Payment by Credit Card:
Visa Mastercard
Card Number:
Expiry Date:
  Month/Year
Name on Card:



If you do not wish to register online ...
Go To..Printer friendly page...page!

** Post cheques to:-
Bernardette Tackney, Cellplex Pty Ltd,
16-18 Hydrive Close, Dandenong South, VIC 3164
Fax No. +61 3 9799 7111, Telephone +61 3 9799 7444
E-mail: btackney@cellplex.net
Registrations may be limited due to capacity of the venue. Registrants must be primary practising clinicians. The Organising Committee reserves the right to accept or decline applications for registration.
Proudly sponsored by Cellplex Logo


| Home | Welcome Letter | Mission Statement | Meeting | PDU Collaboration|
| 2007 Meeting | 2006 Meeting | 2005 Meeting | Organising Committee | Contacts |
      Site design by Webpage World