Registration Form

ANZICS Clinical Trials Group 9th Annual Winter Research Forum 2018 (27th & 28th August) and the International Hypothermia and Temperature Management Symposium (IHTMS) 2018 (28th - 30th August)

The ANZICS Clinical Trials Group 9th Annual Winter Research Forum 2018 will be held from 8am Monday 27th until 1pm Tuesday 28th August at the Sheraton on the Park, Sydney, Australia. The International Hypothermia and Temperature Management Symposium (IHTMS) 2018 will be held at the same venue from 1:30pm Tuesday 28th August until 5pm Thursday 30th August. Please use this form to register for both of these meetings.

Section A: Your Details

    (Please include country code)

    (Please include country code)


Section B: Meeting Registration

General Information

Online registrations will close Friday 3rd of August 2018. Registrations received after this time will attract an additional 20% manual processing fee. Prices are in Australian dollars (Incl. GST). A cancellation fee of $100 will apply to any registration cancelled before Friday 3rd August 2018. Please note that no refund will be given should you elect to cancel after Friday 3rd August 2018. Should you require single day registration please contact the CTG Office (ctgadmin@anzics.com.au).


ANZICS Clinical Trials Group 9th Annual Winter Research Forum 2018
27th - 28th August

Registration for the CTG Winter Research Forum includes one complimentary ticket to the CTG Winter Research Forum Dinner (evening of Monday 27th August). Please indicate that you wish to attend the Dinner to reserve your seat. Additional Dinner tickets may be purchased subject to availability. Please contact the CTG Office for more information. Should you require single day registration please contact the CTG Office.

CTG Winter Research Forum - Full registration (August 27 & 28 includes Forum Dinner ticket)
        Medical staff (Members $550, Non-Members $836)
        Research/Trainee/Registrar/Nursing staff (Members $380, Non-Members $670)
        I will not be attending the CTG Winter Research Forum

The CTG Winter Research Forum Dinner will be held the evening of Monday 27th August. This event will provide an opportunity for delegates to network and socialise over dinner.

Will you will be attending the Conference Dinner?
Yes
No

Additional Dinner tickets may be purchased subject to availability. Please contact the CTG Office for more information.


International Hypothermia and Temperature Management Symposium (IHTMS) 2018 (28th - 30th August)

Early Bird rates are available until Friday 1st June 2018.

Registration for IHTMS 2018 includes one complimentary ticket to the Symposium Networking Drinks (evening of Tuesday 28th August) and the Symposium Dinner (evening of Thursday 30th August). Please indicate that you wish to attend these events to reserve your ticket. Additional tickets may be purchased subject to availability. Please contact the CTG Office for more information. Should you require single day registration please contact the CTG Office.

IHTMS 2018 Registration - Full Registration (August 28 - 30 includes one ticket to the Symposium Networking Drinks and the Symposium Dinner)

        Medical staff (Early Bird $1110)
        Nursing / Student / Research Coordinator / Project Manager / Allied Health Staff (Early Bird $660)
        I will not be attending the IHTMS 2018

Networking Events


The IHTMS Networking Drinks will be held from 6pm Tuesday 27th August. This event will provide an opportunity for delegates to network and socialise over informal drinks.

Will you be attending the IHTMS Networking Drinks?

Yes
No

The IHTMS Dinner will be held from 7pm Thursday 30th August.

Will you be attending the IHTMS Dinner?

Yes
No

Section C: Payment

Prices are in Australian dollars (Incl. GST) and are processed in Australia - please note that transactions made via credit card will be considered an international payment for those delegates making payment from outside Australia. A cancellation fee of $100 will apply to any registration cancelled before Friday 3rd August 2018. Please note that no refund will be given should you elect to cancel after Friday 3rd August 2018.

Total amount:

Credit

Please note: Credit card payments are processed through Commonwealth bank's payment gateway, BPOINT.

Cheque

Please post your cheque made out to "ANZICS" to:
CTG Executive assistant
Simone Rickerby
ANZICS Clinical Trials Group
PO Box 164
CARLTON SOUTH, VIC 3053

Invoice the hospital