APCC 2019 | Delegate Registration Form


We welcome your registration for the 20th Asia-Pacific Prostate Cancer Conference 2019. It is important to read all the information on the website before you commence. Please note all prices quoted are in Australian dollars (AU$) and are inclusive of goods and services tax (GST). 

Instructions for Online Registration

  • All information should be typed in upper and lower case (eg John Smith)
  • Please use the ‘Tab’ key to move from one field to the next 
  • As you complete the details on each page, click ‘Next’ to proceed to the next section
  • You will have the opportunity to review and edit your registration details before the final stage of confirmation and payment
  • Credit card is the only method of payment accepted from Wednesday 24 July 2019 
  • Google Chrome and Microsoft Edge are the preferred platforms

 

 

Data Processing Consent

As part of the registration process we will collect personal information about you. For information on the privacy policy please click here. If you do not give consent for your details to be used you cannot register for the Conference and you will be redirected to the Conference website.  


option required

Delegate List

A delegate list will be provided electronically and/or via an app to all delegates, participating sponsors and exhibitors. The list will include the name, organisation and state/country for delegates who have consented to this information being included and have registered at the time of distribution. If you do not wish to have your details on this list and/or app, please indicate below:
 

option required

Delegate Contact Information

Please complete the below information.
 

Contact Details

Conference Name Badge


Please advise of your preferred first name and last name to be printed on your conference badge.

 

 

Registration Options

Please select one of the below options to continue.
 

Full Attendee Registration Categories

Please indicate below your applicable registration category.

Full Registration includes:

  • Entry to all Conference sessions (Saturday, Sunday and Monday) 
  • Access to Moderated Poster sessions as per Conference program 
  • Morning, afternoon teas and lunch daily as per the Conference program 
  • Entry into the Industry Exhibition area 
  • Attendance at the Welcome Reception (Saturday 24 August) 
  • Delegate satchel and name badge

Evidence of student Post Doctorate status is required. Please upload your verification of eligibility to your online registration form.

Please note: To qualify for the Developing County rates you must reside in a country from this list.
 

AMOUNT
1,050.00
TOTAL
AMOUNT
950.00
TOTAL
AMOUNT
950.00
TOTAL
AMOUNT
750.00
TOTAL
AMOUNT
560.00
TOTAL
AMOUNT
500.00
TOTAL
AMOUNT
1,290.00
TOTAL
AMOUNT
1,100.00
TOTAL
AMOUNT
1,100.00
TOTAL
AMOUNT
875.00
TOTAL
AMOUNT
775.00
TOTAL
AMOUNT
675.00
TOTAL
AMOUNT
1,500.00
TOTAL
AMOUNT
1,400.00
TOTAL
AMOUNT
1,400.00
TOTAL
AMOUNT
975.00
TOTAL
AMOUNT
975.00
TOTAL
AMOUNT
875.00
TOTAL

Day Attendee Registration Categories

Day Registration includes:

  • Entry to all Conference sessions on day of registration
  • Morning, afternoon teas and lunch daily as per the Conference program
  • Entry into the Industry Exhibition area
  • Delegate satchel and name badge 
  • Attendance at the Welcome Reception (Saturday Day Registrations Only)
Evidence of student Post Doctorate status is required. Please upload your verification of eligibility to your online registration form.
 
Tickets to the Conference Dinner are not included in the below registration fees and are at an additional cost. 

Please note: To qualify for the Developing County rates you must reside in a country from this list. 
 
AMOUNT
700.00
TOTAL
AMOUNT
700.00
TOTAL
AMOUNT
700.00
TOTAL
AMOUNT
750.00
TOTAL
AMOUNT
750.00
TOTAL
AMOUNT
750.00
TOTAL
AMOUNT
750.00
TOTAL
AMOUNT
750.00
TOTAL
AMOUNT
750.00
TOTAL

 

AMOUNT
490.00
TOTAL
AMOUNT
490.00
TOTAL
AMOUNT
490.00
TOTAL
AMOUNT
540.00
TOTAL
AMOUNT
540.00
TOTAL
AMOUNT
540.00
TOTAL
AMOUNT
540.00
TOTAL
AMOUNT
540.00
TOTAL
AMOUNT
540.00
TOTAL
AMOUNT
490.00
TOTAL
AMOUNT
490.00
TOTAL
AMOUNT
500.00
TOTAL
AMOUNT
500.00
TOTAL
AMOUNT
500.00
TOTAL
AMOUNT
595.00
TOTAL
AMOUNT
595.00
TOTAL
AMOUNT
595.00
TOTAL
AMOUNT
685.00
TOTAL
AMOUNT
685.00
TOTAL
AMOUNT
685.00
TOTAL
AMOUNT
500.00
TOTAL
AMOUNT
500.00
TOTAL
AMOUNT
500.00
TOTAL
AMOUNT
550.00
TOTAL
AMOUNT
550.00
TOTAL
AMOUNT
550.00
TOTAL
AMOUNT
650.00
TOTAL
AMOUNT
650.00
TOTAL
AMOUNT
650.00
TOTAL
AMOUNT
400.00
TOTAL
AMOUNT
400.00
TOTAL
AMOUNT
400.00
TOTAL
AMOUNT
495.00
TOTAL
AMOUNT
495.00
TOTAL
AMOUNT
495.00
TOTAL
AMOUNT
595.00
TOTAL
AMOUNT
595.00
TOTAL
AMOUNT
595.00
TOTAL
AMOUNT
350.00
TOTAL
AMOUNT
350.00
TOTAL
AMOUNT
350.00
TOTAL
AMOUNT
445.00
TOTAL
AMOUNT
445.00
TOTAL
AMOUNT
445.00
TOTAL
AMOUNT
545.00
TOTAL
AMOUNT
445.00
TOTAL
AMOUNT
545.00
TOTAL
 

Program Additional Sessions


As places are limited we encourage you to secure your place early. Unless stated otherwise sessions will be held at the Conference venue, MCEC.  
 

Friday 23 August 2019

Workshop 1: New Frontiers in Robotic Surgery

Date: Friday 23 August 2109
Time: 0830 - 1630
Venue: Australian Medical Robotics Academy (AMRA)
Who should attend: This is a high level workshop aimed at surgeons proficient in robotic surgery who wish to explore cutting edge techniques aimed at improving outcomes in prostatectomy, upper tract surgery, and training of students and fellows.  
 
For program information click here.   

Saturday 24 August 2019


Please select attendance to only ONE of the below workshops, as all workshops on Saturday 24 August 2019 are at the same time.

Workshop 2: MRI & Prostate Cancer Diagnosis

Date: Saturday 24 August 2019
Time: 0830 - 1030
Who should attend: Aimed at Urologists and Radiologists with a basic understanding of multi parametric prostate MRI, who wish to improve their understanding of the role, interpretation, and limitations of this diagnostic technique. 

For program information click here.  
 

Workshop 5: Radiation Oncology in advanced prostate cancer in 2019 : Integrating multi-modality treatment to get the best outcomes

Date: Saturday 24 August 2019
Time: 0830 - 1030
Who should attend: Radiation oncologists, radiation oncology trainees, surgical and oncology trainees, radiation therapists, nurses and allied health staff who work in multidisciplinary teams to manage patients with prostate cancer.

For program information click here.

  

Program Additional Sessions


You have the option of participating in additional Program sessions. As places are limited we encourage you to secure your place early. Unless stated otherwise sessions will be held at the Conference venue, MCEC. 
 

Friday 23 August 2019

Workshop 1: New Frontiers in Robotic Surgery

Date: Friday 23 August 2109
Time: 0830 - 1630
Venue: Australian Medical Robotics Academy (AMRA)
Who should attend: This is a high level workshop aimed at surgeons proficient in robotic surgery who wish to explore cutting edge techniques aimed at improving outcomes in prostatectomy, upper tract surgery, and training of students and fellows.  

For program information click here.  
 

Saturday 24 August 2019


Please select attendance to only ONE of the below workshops, as all workshops on Saturday 24 August 2019 are at the same time.

Workshop 2: MRI & Prostate Cancer Diagnosis

Date: Saturday 24 August 2019
Time: 0830 - 1030
Who should attend: Aimed at Urologists and Radiologists with a basic understanding of multi parametric prostate MRI, who wish to improve their understanding of the role, interpretation, and limitations of this diagnostic technique.

For program information click here. 
  

AMOUNT
0.00
TOTAL

Workshop 3: Knowing the Literature

Date: Saturday 24 August 2019
Time: 0830 - 1030
Who should attend: Trainees in urology, medical and radiation oncology, or those interested in an overview of the literature from the world experts. 
 
For program information click here.   
  

AMOUNT
0.00
TOTAL

Workshop 5: Radiation Oncology in advanced prostate cancer in 2019 : Integrating multi-modality treatment to get the best outcomes

Date: Saturday 24 August 2019
Time: 0830 - 1030
Who should attend: Radiation oncologists, radiation oncology trainees, surgical and oncology trainees, radiation therapists, nurses and allied health staff who work in multidisciplinary teams to manage patients with prostate cancer.

For program information click here.  

AMOUNT
0.00
TOTAL

Workshop 6: Innovations In Prostate Cancer Care - Using PROMS to drive change in patient treatment and care

Date: Saturday 24 August 2019
Time: 0830 - 1030 
Who should attend: All clinicans interested in the innovations in prostate cancer care and how the use of patient reported outcomes drives change and improvement in clinical quality, treatment and survivorship care.

For program information click here.
AMOUNT
0.00
TOTAL
  

Program Additional Sessions


You have the option of participating in additional Program sessions. As places are limited we encourage you to secure your place early. Unless stated otherwise sessions will be held at the Conference venue, MCEC. 

Please select attendance to only ONE of the below workshops and/or dinners, as they are at the same time.

Workshop 4: Sexual Dysfunction – The Patient and the Partner

Date: Saturday 24 August 2019
Time: 0830 - 1030 & 1345 - 1545
Who should attend: For beginners to advanced nursing and allied health professionals working with men and partners experiencing sexual dysfunction.

For program information click here.  
   

Workshop 5: Radiation Oncology in advanced prostate cancer in 2019 : Integrating multi-modality treatment to get the best outcomes

Date: Saturday 24 August 2019
Time: 0830 - 1030
Who should attend: Radiation oncologists, radiation oncology trainees, surgical and oncology trainees, radiation therapists, nurses and allied health staff who work in multidisciplinary teams to manage patients with prostate cancer.

For program information click here.  

Workshop 6: Innovations In Prostate Cancer Care - Using PROMS to drive change in patient treatment and care

Date: Saturday 24 August 2019
Time: 0830 - 1030 
Who should attend: All clinicans interested in the innovations in prostate cancer care and how the use of patient reported outcomes drives change and improvement in clinical quality, treatment and survivorship care.

For program information please click here.
AMOUNT
0.00
TOTAL

Satellite Dinner Meeting: Nursing and Allied Health

Date: Saturday 24 August 2019
Time: 1845 - 2100

Juggling work life balance
Dr Ranjit Rao is a surgeon with a difference! His work as a surgeon gives him a unique perspective on matters pertaining to health and wellness and the choices we make towards a more vibrant more fulfilling life. He blends western and eastern; modern and ancient; physical and spiritual in a way that is easy to understand and apply to daily life. Are you someone who is fully living in the hustle and bustle of worldly life? If you have a busy job, a hectic family life with a partner and children, and if you enjoy all the pleasures that life has to offer, such as food, alcohol, coffee, sex and friendships, and if you also wish to achieve the balance and inner peace of the Buddha, this dinner is a must attend. Join us for an evening with colleagues including a two course dinner and beverages. For program information click here.

Satellite Dinner Meeting: Is Radiotherapy or Surgery the Best Way to Treat the Primary in Metastatic Prostate Cancer?

Date: Saturday 24 August 2019
Time: 1845 - 2100

For program information click here. 
 

Please advise below if you wish to be added to the waitlist for this Satellite Dinner Meeting:

  

Satellite Dinner Meeting

You have the option of participating in the additional Satellite Dinner. As places are limited we encourage you to secure your place early. Unless stated otherwise sessions will be held at the Conference venue, MCEC.
 

Satellite Dinner Meeting: Is Radiotherapy or Surgery the Best Way to Treat the Primary in Metastatic Prostate Cancer?

Date: Saturday 24 August 2019
Time: 1845 - 2100

For program information click here.
 

Please advise below if you wish to be added to the waitlist for this Satellite Dinner Meeting:

  

Social Functions

You are invited to participate in the Conference Social Program. Please indicate your participation below:
 

Industry Welcome Reception

We encourage delegates to meet your fellow attendees in the relaxed setting of the exhibition. Drinks and canapés will be served in the Exhibition area. Posters will be on display during the Welcome Reception.

Date: Saturday 24 August 2019
Venue: MCEC
Time: 1745 – 1845
Dress code: Conference Attire
 

 

AMOUNT
60.00
TOTAL

 

Conference Gala Dinner

Celebrate our 20th Anniversary Dinner at the stunning Aviary on the rooftop at Crown. Join us for an evening of fine food and wine with entertainment. The dinner will include the presentation of the Patrick C Walsh Lecture and announcement of the Conference Poster Award Winners. Crown Aviary is a short walk from the Conference hotels.

The Conference Gala Dinner is not included in Registration Fees however tickets can be purchased by entering the number of ticket required below. Partners are also welcome to join the Dinner at a cost of $150.00 per person (inclusive of GST). 

Date: Sunday 25 August 2019
Venue: The Aviary at Crown 
Time: 1900 – 2330
Dress: Lounge Suit
Cost: $150.00 per person
 
AMOUNT
150.00
TOTAL

Social Functions

You are invited to participate in the Conference Social Program. Please indicate your participation below:
 

Industry Welcome Reception

We encourage delegates to meet your fellow attendees in the relaxed setting of the exhibition. Drinks and canapés will be served in the Exhibition area. Posters will be on display during the Welcome Reception.

Date: Saturday 24 August, 2019
Venue: Melbourne Convention & Exhibition Centre – Goldfields Exhibition
Time: 1745 – 1845
Dress code: Conference Attire
 

AMOUNT
60.00
TOTAL

Conference Gala Dinner

Celebrate our 20th Anniversary Dinner at the stunning Aviary on the rooftop at Crown. Join us for an evening of fine food and wine with entertainment. The dinner will include the presentation of the Patrick C Walsh Lecture and announcement of the Conference Poster Award Winners. Crown Aviary is a short walk from the Conference hotels.

Date: Sunday 25 August, 2019
Venue: The Aviary at Crown 
Time: 1900 – 2330
Dress: Lounge Suit
Cost: $150.00 per person
 
AMOUNT
150.00
TOTAL

New Frontiers in Robotic Surgery (Theatre Nurses Only)

Workshop 1: New Frontiers in Robotic Surgery

Date: Friday 23 August 2109
Time: 0830 - 1630
Venue: Australian Medical Robotics Academy (AMRA)
Who should attend: This is a high level workshop aimed at surgeons proficient in robotic surgery who wish to explore cutting edge techniques aimed at improving outcomes in prostatectomy, upper tract surgery, and training of students and fellows.  

For further information including a full program please click here.
AMOUNT
300.00
TOTAL

Accommodation

A range of accommodation options are available for your selection within close proximity to the Conference venue. More information about accommodation options can be found on the website. Due to special events being conducted in Melbourne over the Conference dates we advise you to book your accommodation early.

Please note:
  • A valid credit card number must be provided to secure your booking. The card details will be forwarded to the hotel as a guarantee of your booking. 
  • Wifi is included in the room rate.
  • You will be required to settle your room and incidental expenses direct with the hotel on departure.   
  • If you wish to pre pay your accommodation in advance by credit card or EFT upon invoice, please email charlene@wsm.com.au.
  • If you require accommodation, please email charlene@wsm.com.au your preferred dates and hotel. The Delegate Services Team will contact the hotel direct and advise you of availability.
Deadlines
The hotels impose strict release dates of 30 days prior to arrival so any bookings made after 22 July 2019 will be subject to availability.

Change of Booking 
To make a subsequent change or to cancel your booking, notification must be made via email to the Conference Office. Verbal changes or cancellations cannot be accepted nor will the hotels accept any changes direct.

To continue, please click on the 'Next' button.

  

Registration Queries / Special Requirements

Attendee Dietary Requirements

Please advise any dietary requirements (ie kosher or halal meals). If none, please leave blank.  
 

Accompanying Guest/s Dietary Requirements

Please advise any dietary requirements (ie kosher or halal meals). If none, please leave blank.
 

Mobility Requirements

If you have any mobility requirements (ie wheelchair access), please advise us below. If none, please leave blank.
 

Registration Queries

Please note below any questions relating to your registration and a member of our Delegate Services Team will contact you directly.
 

Registration Summary

Please review these details carefully. Should you wish to make changes, click ‘Edit’ on the section(s) you wish to change. 

Once you are satisfied the information reflects your registration requirements, please review the Cancellation/Refund Terms and Conditions and indicate your agreement to these below. You will then proceed to the payment page. 

Cancellation/Refund Terms and Conditions

Accommodation
For accommodation cancellation policies, please refer to the individual hotel policies noted on the website. Any amendments to original hotel bookings must be forwarded via email to the Conference Office. Verbal changes or cancellations cannot be accepted nor will the hotels accept any changes direct.

Registration Fees
Cancellation of a registration must be advised via email to the Conference Office via apcc@wsm.com.au. Verbal changes or cancellation cannot be accepted. 

The following refunds will apply from the date of receipt of notification: 
On or before 24 June 2019 50% refund less an administration fee of $250 including GST 
On and after 25 June 2019 no refund is available

The refund will be returned via the same payment method as the original receipt of funds. 

No refund is available after Tuesday 25 June 2019, however an alternative delegate name may be provided in writing and the booking and funds will be allocated accordingly. 

Please note no refund or discount will be made if a function or event within the registration fee is not taken up or is subsequently cancelled. 

Optional functions or events may be cancelled before or on Tuesday 25 June 2019 and will be refunded in full via the same payment method as the original receipt of funds. After Tuesday 25 June 2019 no refunds will be made however an alternative delegate name may be provided via email and the booking and funds will be allocated accordingly. 

Please indicate below your acceptance of the Cancellation and Refund Terms and Conditions, then press ‘Next’ to proceed to the payment page. 
 

Payment Information

Registration Payment  
  • If payment is made by an international electronic funds transfer please include an additional AU$25 to cover the local bank fee 
  • Please note if a registration is made less than 30 days prior to the event, Wednesday 24 July 2019 credit card is the only payment option available
  • Participation is not confirmed until full payment is received
  • Please note ‘WALDRONSMITH Management’ will appear on your credit card transaction statement

Payment Option

Credit Card: 
Visa and MasterCard are accepted, please note a surchrage of 1.5% applies on all Credit Card payments.

Thank You

Thank you for registering for the 20th Asia-Pacific Prostate Cancer Conference 2019. Your registration and payment details have been forwarded to the Conference Office and you will receive confirmation via email shortly. 

If you have any queries regarding your registration please contact the Conference Office below. 

APCC 2019 Conference Office: 

C/O WALDRONSMITH Management
119 Buckhurst Street
South Melbourne VIC 3205 Australia
T  +61 3 9645 6311  
F  +61 3 9645 6322 
E  apcc@wsm.com.au 
W prostatecancerconference.org.au
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