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research symposium: registration


Research Symposium Registration

Registration for the Royal Women’s Hospital Research Symposium, to be held in conjunction with the Australian & New Zealand Placental Research Association Annual Meeting, 23 to 24 August 2008



Please read the following information carefully. To ensure you have reserved a place for the symposium, your registration application must be received by 1 July, 2008.

Places are limited and acceptance of bookings is subject to availability. Symposium bookings will be confirmed by email.


Registration cancellation


If you have registered and cannot attend, please notify the symposium convenor so that the place can be made available to another individual.

Required form fields are shown with an asterisk (*)


Name*



Institution*



Invited speaker


No  Yes  

Details on name badge


Preferred name
Preferred institution

Your contact information


Telephone*
Email*
Fax

Affiliation


ANZPRA  
SRB
The Women's
Other   (please provide details)

Special Dietary Requests


No
Yes

(please provide details)


Registration type and program selection



Full Registrant
Student
Saturday program
$35
$20
Sunday program
$35
$20
Welcome Reception
$30
$18
Two day program and Welcome Reception
$100
$58


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