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)
Please select an item.
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
Anti-Spam Test
Are you Human?
Registration Fees

Full Registration ($580)
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
NO deposit can be accepted with this registration form. When you have completed your Registration process, go to SHERATON STARGROUPS link on the Accommodation Options page. .

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.