Airways Disease Across the Spectrum Short Course Registration

Please complete this form to register for the Airways Disease Across the Spectrum Short Course

If you have any queries about your registration, or if you do not receive a confirmation email within 7 days, please contact TSANZ Head Office.
Email: tsanzevents@thoracic.org.au | Phone: +64 9 170 2638

For any credit card payments, a fee of 2.4% is applicable.

Contact Details

Title

First Name

Last Name

Organization

Position

Mobile

Email Address

Verify Email Address

Industry Information

Which option best describes you?

Professional Group

Professional Group - Other

Which stage of your career are you in?

Member Registration

TSANZ Membership Number

TSANZ Member Full Course FULL

AMOUNT

200.00

TOTAL

Discount Code

TSANZ Member Friday only FULL

AMOUNT

120.00

TOTAL

Discount Code

TSANZ Member Sat only FULL

AMOUNT

120.00

TOTAL

Discount Code

Please specify if you have any acessibility or dietary requirements below.

Please select the dietary requirement that applies to you below, you can select more than one. If your dietary requirement is not listed, please enter it manually in the text box under Dietary Requirements - Other. If not applicable, please continue to the next section.

Dietary Requirements

Do you consent to your information (name, organisation, email address) being shared with the event sponsors for the purposes of marketing and promotion?

I consent

I do not consent

I understand that the Airways Disease Across the Spectrum Short Course may include photography during the event, and that I may appear in some images as an attendee. I give permission for photographs that include me to be used for promotional materials and/or social media purposes.

Agree

Disagree

Terms and Conditions

Please confirm that by registering for this event you have read, understood and agree to the Member Refund and Cancellation Policy, Privacy Policy and agree to adhere to the Code of Conduct, as listed here.

Terms and Conditions

Non-Member

Non-Member Full Course FULL

AMOUNT

350.00

TOTAL

Discount Code

Non-Member Friday only FULL

AMOUNT

200.00

TOTAL

Discount Code

Non-Member Saturday only FULL

AMOUNT

200.00

TOTAL

Discount Code

Please specify if you have any acessibility or dietary requirements below.

Dietary Requirements

Do you consent to your information (name, organisation, email address) being shared with the event sponsors for the purposes of marketing and promotion?

I consent

I do not consent

I understand that the Airways Disease Across the Spectrum Short Course may include photography during the event, and that I may appear in some images as an attendee. I give permission for photographs that include me to be used for promotional materials and/or social media purposes.

Agree

Disagree

Terms and Conditions

Terms and Conditions

Student Identification

Student Full Course FULL

AMOUNT

120.00

TOTAL

Discount Code

Student Friday Only FULL

AMOUNT

90.00

TOTAL

Discount Code

Student Sat only FULL

AMOUNT

90.00

TOTAL

Discount Code

Please specify if you have any acessibility or dietary requirements below.

Dietary Requirements

Other

Do you consent to your information (name, organisation, email address) being shared with the event sponsors for the purposes of marketing and promotion?

I consent

I do not consent

I understand that the Airways Disease Across the Spectrum Short Course may include photography during the event, and that I may appear in some images as an attendee. I give permission for photographs that include me to be used for promotional materials and/or social media purposes.

Agree

Disagree

Terms and Conditions

I Agree to the Terms and Conditions of the Meeting

Payment

Thank You for Your Registration. You will receive an email confirmation shortly.

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Airways Disease Across the Spectrum Short Course Registration

Please complete this form to register for the Airways Disease Across the Spectrum Short Course

Contact Details

Industry Information

Member Registration

TSANZ Membership Number

Please specify if you have any acessibility or dietary requirements below.

Do you consent to your information (name, organisation, email address) being shared with the event sponsors for the purposes of marketing and promotion?

I understand that the Airways Disease Across the Spectrum Short Course may include photography during the event, and that I may appear in some images as an attendee. I give permission for photographs that include me to be used for promotional materials and/or social media purposes.

Terms and Conditions

Non-Member

Please specify if you have any acessibility or dietary requirements below.

Do you consent to your information (name, organisation, email address) being shared with the event sponsors for the purposes of marketing and promotion?

I understand that the Airways Disease Across the Spectrum Short Course may include photography during the event, and that I may appear in some images as an attendee. I give permission for photographs that include me to be used for promotional materials and/or social media purposes.

Terms and Conditions

Please specify if you have any acessibility or dietary requirements below.

Do you consent to your information (name, organisation, email address) being shared with the event sponsors for the purposes of marketing and promotion?

I understand that the Airways Disease Across the Spectrum Short Course may include photography during the event, and that I may appear in some images as an attendee. I give permission for photographs that include me to be used for promotional materials and/or social media purposes.

Terms and Conditions

Payment

Thank You for Your Registration. You will receive an email confirmation shortly.

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