Register for the 2011(18th) Conference


  • General Details
  • Registration Fees
  • Optional Tickets
  • Accommodation
General Details

Title Please select an item.*
First Name * A value is required.
Surname A value is required.*
Name on Badge
Address A value is required.*
City/Town
State (If other)
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Postcode A value is required.Invalid format.*
Telephone A value is required.Please include area code (10 digit number required)* (eg. 07 5555 5555)
Facsimile (eg. 07 5555 5556)
Email A value is required.Invalid format.*
RACGP QA+CE Number
Special Requirements
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Registration Fees

Full Registration ($520)
Full registration includes lunch, Canapes and Drinks events.
      OR  
Individual Day Registration (includes lunch & canapes)Please enter a value.

Select the days you wish to register for:

Friday $300
Saturday $300

Extra Tickets

Friday Lunch @ $50 each Please select an item.
Friday Canapes and Drinks @ $30 each Please select an item.
Saturday Lunch @ $50 each Please select an item.
Full Guest @ $180 each Please select an item.
Accommodation

Sheraton Mirage
See direct online booking or download faxable form.

Palazzo Versace
Pay a deposit of one night's room tariff to secure your booking at Palazzo Versace

Palazzo Versace Deposit $345 Yes     No

Delegate Sharing Room Yes     No

Name of Shared Delegate A value is required.

Check In Click Here to Pick up the date     Check Out Click Here to Pick up the date

Room Configuration

(Max 2 adults and 2 children per room)

Single     Double     Twin (2xdouble beds)

Comments:

    Important Note Have you looked at the "Optional Tickets" and "Accommodation" options above.