IMiA 2019 Registration Form │ Delegate

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We welcome your registration to the 5th International Medicine in Addiction Conference. 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

During the online registration process please ensure you:

• have read and understand the registration and accommodation cancellation policy
• type all information in upper and lower case eg John Smith
• use the ‘Tab’ key to move from one field to the next
• complete the details on each page and click ‘Next’ to proceed to the next section
• you will have the opportunity to review and edit any registration details before the final stage of confirmation and payment
• you complete the registration within 15 minutes form before the system times out and 
• use Google Chrome or Microsoft Edge as they are the preferred platforms.

Please note all prices quoted are in Australian dollars and are inclusive of goods and services tax (GST).

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Please indicate your membership number below if applicable: 

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Please indicate below your applicable registration category.

Please note Early Bird registration fees apply to registrations received and paid in full on or before Friday 30 November 2018.

Registrations include:

• Access to Conference sessions on the day/s of attendance
• Lunches, morning and afternoon teas on the day/s of attendance
• Conference name badge and satchel
• Opportunity to attend the Welcome Reception (Three Day or Friday delegates only)

Attendance to the Conference Dinner is at an additional cost.

For delegates registering at the Medical Student rate, please note that proof of student status is required in the form of a copy of a student card or copy of current enrolment statement. Please upload your verification of eligibility to your online registration form.

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AU$

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You are invited to attend the Indivior Networking Function. Further information regarding this evening can be found on the website.

For catering purposes, please advise us of your intention to attend the Indivior Networking Function.

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For further information on the Breakfast Symposiums, please visit the website: Gilead Industry Breakfast Symposia or Mundipharma Industry Breakfast Symposia. 

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You are invited to participate in the IMiA 2019 Social Program. Further information regarding the Social Program can be found on the website.

For catering purposes, please advise us of your intention to attend the Welcome Reception below.
The Welcome Reception is included in Three Day Registrations and selected Friday Registrations only.

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AU$ 

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The IMiA 2019 Conference Dinner is not included in registration fees. If you wish to attend the dinner, please indicate your attendance below by selecting the number of tickets you wish to purchase.

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AU$
 

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A range of accommodation options are available for your selection within close proximity to the IMiA 2019 venue. Further information can be found on the website.

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.
• 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 Monday 28 January 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 skip this section, please click on the 'Next' button.

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