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EMANZ Conference 2015 Registration Form
Registration is available until Friday 22 May 2015
Registering as an:
Please advise your EMANZ membership number or affiliate membership number (IPENZ, FMANZ, IRHACE, PINZ) or if a student, your tertiary institute and tutors name and contact details.
Are you registering for?:
Both days of the conference 25 & 26 May 2015
Day 1 only 25th May 2015
Day 2 only 26th May 2015
For catering purposes please let us know if you will be attending the cocktail evening on Monday 25th May
Please let us know if you have any dietary requirements that we need to cater for
Conference Delegate List
Yes I would like to be included
No I do not want to be included
A delegate list will be distributed to delegates at the conference to support networking opportunities. Please indicate if you wish to be included or not, on this list.
Yes I am happy to receive material from sponsors
No I do not wish to receive material from sponsors
On receiving your registration you will be sent an invoice.Please indicate above whom you wish the invoice made out to (Individual or a Company) Payment cannot be made on this website. Payment can be made by cheque or direct debit into the EMANZ account provided on the invoice. If you wish to pay by credit card (Visa or Mastercard only) please let us know above and we will be in touch to facilitate this. A surcharge of 2% will apply for all payments by credit card.
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