Registration Data Processing Content


In accordance with data protection guidelines, all registrants are required to provide consent for the ANZICS/ACCCN Intensive Care ASM to collect and process their data . Please see how your data will be recorded and used below.

Please review the data processing consent information below and select 'I give consent' to proceed with registration for ANZICS/ACCCN Intensive Care ASM. If you do not wish to give consent we are unable to collect your data and therefore you will be unable to register for this conference. Please note, within the registration form you will be asked permission for your contact details to be distributed to sponsors, other attendees and ANZICS/ACCCN.

option required


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


Please complete this form to register for the
ANZICS/ACCCN Intensive Care Annual Scientific Meeting 2018


If you have any queries about your registration or accommodation please contact The Conference Company
Email: intensivecareasm@theconferencecompany.com Australian free phone: 1800 193 405 Phone: +64 9 360 1240

At completion, your information will be encrypted and securely forwarded to The Conference Company.

The Meeting industry is confronted with an increasing number of fraudulent websites that impersonate legitimate Meeting websites, and booking agencies that are not authorised to make bookings for Meeting participants. Please read our Register Safely webpage for more information.


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Contact Details

If you are registering someone else, please ensure that their details are entered below. If you wish to be copied into any email correspondence, please enter your email address in the Additional Email Address(es) field below.

 

Name Badge

Please enter your name as you would prefer it on your name badge below. Leave this blank if it is the same as the above.


Postal Address
Billing Address
If your Billing Address differs from your Postal Address, please enter these details below.

Note: The Billing Address provided below at the time of registration will be listed on the invoice that is sent to you (if applicable). Please note that once this invoice has been sent to you, the billing address provided for the invoice cannot be amended.
Do you have purchasing power?
Privacy - List of Participants
The Privacy Act 1988 provides that, before your name and contact details can be published in a list of participants you must give your consent. If you select 'Yes, I do want my details to be included in the list of participants' on this registration form or by email, your name and contact details may be distributed to:
  • Meeting delegates, sponsors and exhibitors (name, organisation, state, country only)
  • Organisers of future ANZICS and ACCCN events (name, organisation, state, country, email)

Please select your privacy preference: *


* = Required field


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


REGISTRATION

 

  • All prices are in AU$ and include Goods and Services Tax of 10%.
  • Earlybird registration closes on 19 August 2018. If payment has not been received by this date then standard rates will apply.
  • To view further Registration information please see the ASM18 website.
  • Cancellation policy: If you cancel your registration prior to Thursday 6 September 2018 you will receive a refund less a cancellation fee of AU$100. Cancellations made after this date are non-refundable. 
  • If you are an overseas visitor, visa information is available at www.immi.gov.au.

 

ANZICS / ACCCN Membership
If you are a member of ANZICS or ACCCN, please enter your membership number or username/email address below.

 

Full Registration
Member
1,245.00
750.00
750.00
750.00
1,495.00
995.00
995.00
995.00
Non-Member
1,495.00
900.00
850.00
900.00
1,795.00
1,145.00
995.00
1,145.00

 

Day Registration
Member
665.00
395.00
395.00
420.00
700.00
420.00
420.00
520.00
Non-Member
800.00
475.00
420.00
475.00
850.00
545.00
520.00
650.00


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


DAY REGISTRATION
Please select the day you are attending


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


STUDENT IDENTIFICATION

Please enter your Student ID and Institution below.


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


SOCIAL FUNCTIONS - Full Registration

  • For more information please click here to view the website Social Function page.

Friday Party Night
Dress: Festival/Smart Casual
Date: Oct 12, 2018 Time: 1930 - 2330
  • The Friday Party Night is included as part of your registration. Please tick the 'Attending the Friday Party Night' box if you would like to attend this function. 
  • If you would like to purchase tickets for guests, please indicate the number of 'Guest Tickets' you require. 
  • Please indicate if you are unable to attend.
Friday Party Night - Guest Tickets
140.00


Gala Dinner
  • The Gala Dinner is included as part of your registration. Please tick the 'Attending the Gala Dinner' box if you would like to attend this function. 
  • If you would like to purchase tickets for guests, please indicate the number of 'Guest Tickets' you require. 
  • Please indicate if you are unable to attend.
Dress: Black Tie or Lounge Suit
Date: Oct 13, 2018 Time: 1900 - 2330
Gala Dinner - Guest Tickets
165.00


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


SOCIAL FUNCTIONS - Day Registration

  • For more information please click here to view the website Social Function page.

Friday Party Night
Dress: Festival/Smart Casual
Date: Oct 12, 2018 Time: 1930 - 2330
  • Please select the number of Friday Party Night tickets you wish to purchase below. Please indicate if you are unable to attend.
140.00


Gala Dinner
  • Please select the number of Gala Dinner tickets you wish to purchase below. Please indicate if you are unable to attend.
Dress: Black Tie or Lounge Suit
Date: Oct 13, 2018 Time: 1900 - 2330
165.00


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


BREAKFAST SESSION

  • For more information on the Breakfast Sessions, please click here.
Breakfast Session - Saturday 13 October (08:00-09:00)
A/Prof Carol Hodgson - Deputy Director, ANZIC-RC
Panel: Dr Emma Ridley - Head of the Nutrition Research Program, Monash University
Chair: Prof Adam Deane, Intensivist, Royal Melbourne Hospital


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


LUNCH SYMPOSIA

  • For more information on the Lunch Symposia, please click here.
Lunch Symposium - Friday 12 October (12:00-12:45)
Speaker: Dr Cathryn Murphy
Lunch Symposium - Saturday 13 October (13:20-14:05)
Speaker: Prof. François Stéphan, Head of Intensive Care, Marie Lannelongue Hospital, Paris, France


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


COMMENTS AND REQUIREMENTS


Emergency Contact
Please provide the name and contact number of your emergency contact person. 
Dietary Restrictions
Please select any dietary restrictions that apply to you below.
If you are severely allergic to something or have any other allergies, please specify in the box below.
Registration Queries
Additional Requirements


* = Required field


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


Summary

Please check these details carefully, and make any necessary amendments before continuing.

Terms and Conditions

Please ensure you are familiar with the Terms and Conditions for your registration, and if applicable, accommodation reservation.



* = Required field


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


Payment

  • Payment can only be made by Visa or MasterCard. 
  • Click 'online credit card payment' to proceed.
  • You must complete the payment process for your registration to be saved and sent to The Conference Company.


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 


Thank You


Thank you for registering for the ANZICS/ACCCN Intensive Care ASM 2018.
You will shortly receive an email acknowledging your registration.

For more information please visit www.intensivecareasm.com.au or email intensivecareasm@theconferencecompany.com.


Meeting Managers: The Conference Company
PO Box 90 040, Auckland 1142, New Zealand
Australian free phone: 1 800 193 405
Phone: +64 9 360 1240
Email: intensivecareasm@theconferencecompany.com 
Website: www.intensivecareasm.com.au

 

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