Registration Data Processing Consent
In order to deliver this event, we need to collect your personal information. Some information is shared with other providers. Full details of what we share and with whom is listed in the Data Consent Policy. In accordance with data protection guidelines, we require your consent to do this; without it, we are unable to process your registration via this online form. Please contact us at worldcongressicu@theconferencecompany.com with any enquiries you may have.

Data Consent Policy

Data Consent Policy option required

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  


Please complete this form to register for the
World Congress of Intensive Care 2019


If you have any queries about your registration or accommodation please contact The Conference Company
Email: worldcongressicu@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 Congress industry is confronted with an increasing number of fraudulent websites that impersonate legitimate Congress websites, and booking agencies that are not authorised to make bookings for Congress 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.

Occupation

Do you require a Letter of Invitation?

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:
  • Congress delegates, sponsors and exhibitors (name, organisation, state, country only)
  • Organisers of future ANZICS, ACCCN and WFSICCM events (name, organisation, state, country, email)


* = Required field

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

LETTER OF INVITATION

 

  • In order for us to issue you with a letter of invitation please submit the details below:

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

REGISTRATION - PHYSICIAN

 

  • All prices are in AU$ and include Goods and Services Tax of 10%.
  • Earlybird registration closes on 11 August 2019. If payment has not been received by this date then standard rates will apply.
  • To view further Registration information please see the 2019 World Congress ICU website.
  • Cancellation policy: If you cancel your registration prior to 31 August 2019 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.

Membership
Please state which professional organisation you are a member of:

 

Full Registration
  • Full Registration includes a Welcome Reception and Party Night Ticket.
1,245.00
600.00
1,495.00
800.00
1,495.00
750.00
1,795.00
950.00

 

Day Registration
  • You may purchase Welcome Reception and Party Night Tickets later through the form.
665.00
350.00
800.00
450.00
700.00
435.00
850.00
500.00

^ Medical Doctors who are current members of their national or regional WFSICCM affiliated critical care organisation

** Please note reduced registration rates are available for participants residing in low and middle income economies as defined using classifications from the World Bank. Please click here for more information.

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

REGISTRATION - NURSE/ALLIED HEALTH/TRAINEE/RESIDENT

 

  • All prices are in AU$ and include Goods and Services Tax of 10%.
  • Earlybird registration closes on 11 August 2019. If payment has not been received by this date then standard rates will apply.
  • To view further Registration information please see the 2019 World Congress ICU website.
  • Cancellation policy: If you cancel your registration prior to 31 August 2019 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.

Membership
Please state which professional organisation you are a member of:

 

Full Registration
  • Full Registration includes a Welcome Reception and Party Night Ticket.
750.00
900.00
550.00
995.00
1,145.00
700.00

 

Day Registration
  • You may purchase Welcome Reception and Party Night Tickets later through the form.
395.00
475.00
300.00
420.00
545.00
420.00

** Please note reduced registration rates are available for participants residing in low and middle income economies as defined using classifications from the World Bank. Please click here for more information.

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

REGISTRATION - UNDERGRADUATE STUDENT

 

  • All prices are in AU$ and include Goods and Services Tax of 10%.
  • Note: Delegates registering at the student rate must be undergraduates in a recognised training program. Delegates will be asked provide written substantiation to prove their training status.
  • Earlybird registration closes on 11 August 2019. If payment has not been received by this date then standard rates will apply.
  • To view further Registration information please see the 2019 World Congress ICU website.
  • Cancellation policy: If you cancel your registration prior to 31 August 2019 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.

Membership
Please state which professional organisation you are a member of:

 

Full Registration
  • Full Registration includes a Welcome Reception and Party Night Ticket.
550.00
700.00

 

Day Registration
  • You may purchase Welcome Reception and Party Night Tickets later through the form.
300.00
420.00

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

DAY REGISTRATION

 

  • Please select the day you are attending:

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

SOCIAL FUNCTIONS - Full Registration

  • For more information please click here to view the website Social Function page.
Party Night
Date: Oct 16, 2019 Time: 1900 - 2300
  • The Party Night is included as part of your registration. Please tick the 'Party Night - Inclusive Ticket' box if you would like to attend this function or select 'Not attending'.. 
  • If you would like to purchase tickets for guests, please indicate the number of 'Guest Tickets' you require. 

 

150.00

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

SOCIAL FUNCTIONS - Day Registration

  • For more information please click here to view the website Social Function page.
Party Night
Date: Oct 16, 2019 Time: 1900 - 2300
  • If you would like to purchase tickets for yourself and guests, please indicate the number of 'Guest Tickets' you require. 

 

150.00

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

ASSOCIATED WORKSHOPS

  • To view further information on all Associated Workshops, please visit the Congress website.
Bronchoscopy for Intensivists Workshop

Click here for workshop information

Venue: Clarendon Room A, Melbourne Convention and Exhibition Centre
Date: Oct 12, 2019 Time: 0900 - 1700
900.00

 

Interactive Experiential Advanced Communication Skills in Patient-Centred Care Workshop - 13 October

Click here for workshop information

Venue: Meeting Rooms 101, 102 & 103, Melbourne Convention and Exhibition Centre
Date: Oct 13, 2019 Time: 0900 - 1630
850.00

 

End of Life Communication and Shared Decision Making


Click here for workshop information

Venue: Meeting Room 110, Melbourne Convention and Exhibition Centre
Date: Oct 14, 2019 Time: 1300 - 1630
185.00

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

SPONSORED BREAKFAST AND LUNCH SYMPOSIA

  • Please indicate below if you will be attending the Sponsored Breakfast and Lunch Symposia
  • The program for the Sponsored Breakfast and Lunch Symposia can be viewed on the website
  • Breakfast and Lunch will be provided in these sessions
Lunch Symposia

Fisher and Paykel

Title: Nasal High Flow; Targeting Conditions or Symptoms?

Speakers: Dr. Gonzalo Hernández (Spain) and Dr. Nuttapol Rittayamai (Thailand)
Venue: Theatrette, Exhibition Hall
Date: Oct 16, 2019 Time: 1250 - 1350
Sponsored by:

MSD

Title 1: Current Toolbox for treating Multidrug Resistant Pathogens in the ICU: Focus on Nosocomial Pneumonia
Title 2: Nosocomial Pneumonia in Ventilated Patients: Ceftolozane/Tazobactam Versus Meropenem (ASPECT-NP Study)

Speaker 1: Dr. Michael Niederman (USA)
Speaker 2: Dr. Ricard Ferrer (Spain)
Venue: Theatrette, Exhibition Hall
Date: Oct 16, 2019 Time: 1250 - 1330
Sponsored by:

Pfizer

Title 1: Immune modulation therapy in sepsis - fact or fantasy?
Title 2: An overview of novel antimicrobials in current development or recently registered.
Title 3: Resistance is futile…?: Antimicrobial-resistant Gram-negative bacteria in ICU.
Title 4: Haematology and Oncology patients in the ICU: Managing invasive fungal infections.

Speaker 1: Professor Anthony McLean (Australia)
Speaker 2: Doctor David Grolman (Australia)
Speaker 3: Doctor Dean Gopalan (South Africa)
Speaker 4: Professor Samir Agrawal (UK)
Venue: Theatrette, Exhibition Hall
Date: Oct 17, 2019 Time: 1250 - 1350
Sponsored by:

 

Breakfast Symposia

Stryker

Do No Harm: Impacting pressure injuries and hospital acquired pneumonia with evidence based practices

Speakers: Ms Kathleen Vollman and Ms Michelle Barakat Johnson.
Venue: Meeting Room 220
Date: Oct 16, 2019 Time: 0715 - 0830
Sponsored by:

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

MELBOURNE AND VICTORIA REGIONAL TOURS

 

  • Please tick the box if you are interested to book a tour.
  • Visit the Congress website tour page for full information on all tours on offer.

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

MELBOURNE AND VICTORIA REGIONAL TOURS

  • When purchasing a tour ticket, please ensure you fill out the Guest Name and Email Address of the person who will be attending the tour.
  • Please note: Adult Tickets:15 years old and over. Child Tickets: 4-14 years old
  • Visit the Congress website tour page for full information on all tours on offer.

 

Afternoon Melbourne Highlights


Click here for tour information

 

72.00
36.00

 

72.00
36.00

 

72.00
36.00

 

72.00
36.00

 

72.00
36.00

 

72.00
36.00

 

72.00
36.00

 

72.00
36.00

 

Afternoon Melbourne Highlights w/ River Cruise and Lunch


Click here for tour information

 

120.00
60.00

 

120.00
60.00

 

120.00
60.00

 

120.00
60.00

 

120.00
60.00

 

120.00
60.00

 

120.00
60.00

 

120.00
60.00

 

Express to Penguin Parade


Click here for tour information

 

173.00
86.50

 

173.00
86.50

 

173.00
86.50

 

173.00
86.50

 

173.00
86.50

 

173.00
86.50

 

173.00
86.50

 

173.00
86.50

 

Great Ocean Road Adventure Tour w/ Lunch


Click here for tour information

 

202.00
101.00

 

202.00
101.00

 

202.00
101.00

 

202.00
101.00

 

202.00
101.00

 

202.00
101.00

 

202.00
101.00

 

202.00
101.00

 

Morning Melbourne City Tour


Click here for tour information

 

72.00
36.00

 

72.00
36.00

 

72.00
36.00

 

57.00
36.00

 

72.00
36.00

 

72.00
36.00

 

72.00
36.00

 

72.00
36.00

 

Morning Melbourne City Tour w/ MCG and National Sports Museum


Click here for tour information

 

107.00
54.00

 

107.00
54.00

 

107.00
54.00

 

107.00
54.00

 

107.00
54.00

 

107.00
54.00

 

107.00
54.00

 

Morning Puffing Billy


Click here for tour information

 

102.00
51.00

 

102.00
51.00

 

102.00
51.00

 

102.00
51.00

 

102.00
51.00

 

102.00
51.00

 

102.00
51.00

 

102.00
51.00

 

Penguin Parade w/ Penguins + Premium Viewing


Click here for tour information

 

189.00
94.50

 

189.00
94.50

 

189.00
94.50

 

189.00
94.50

 

189.00
94.50

 

189.00
94.50

 

189.00
94.50

 

189.00
94.50

 

Puffing Billy w/ Australia Wildlife


Click here for tour information

 

218.00
109.00

 

218.00
109.00

 

218.00
109.00

 

218.00
109.00

 

218.00
109.00

 

Puffing Billy w/ Yarra Valley Wineries


Click here for tour information

 

218.00
109.00

 

218.00
109.00

 

218.00
109.00

 

218.00
109.00

 

218.00
109.00

 

Sovereign Hill Tour w/ Wildlife


Click here for tour information

 

183.00
91.50

 

183.00
91.50

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

ACCOMMODATION


Please note we are no longer holding rooms at the below hotels:

Best Western Melbourne City: +61 3 9621 3333

Pan Pacific Melbourne: +61 3 9027 2021

Quest Grand Hotel Melbourne: +61 3 9611 4567

Hotel and Room Information: Please click here to view general accommodation information, and click here to view the accommodation Terms and Conditions.

Requesting a Booking: If you would like to request a booking, please contact your chosen hotel directly via the phone number listed above and state World Congress of Intensive Care 2019 as a reference when making your booking.

Room Rates: Please note that the room rates listed on the World Congress of Intensive Care 2019 website may no longer be available and the rates provided by the hotel will be quoted as their best available rate.

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

STUDENT VERIFICATION

We note that you have registered as a student, please provide us with the below:
  • A copy of your current Student ID
  • A short letter from your supervisor confirming your student status

 

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

DEVELOPING COUNTRIES DELEGATE SUPPORT
A key goal of the World Congress is to facilitate engagement with clinical colleagues from developing and resource limited regions. We have a targeted support program to assist delegate attendance from specific regions so we can contribute to the enhanced provision of critical care where it can make a real difference. Your generosity can assist us in this vital work and, if you grant us permission, we would be pleased to acknowledge your support during the course of the World Congress



Please select your Developing Countries Delegate Support amount from the drop down box below. If the amount is on behalf of an organisation, or you wish to donate another amount, select the contact me option from the drop down box and complete any further information into the comments box.

 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

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

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  


SUMMARY
Terms and Conditions


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


* = Required field

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

PAYMENT

 

  • Payment can 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.

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

 

Thank you for registering for the World Congress of Intensive Care 2019


You will receive an email shortly acknowledging your registration. 

Click here to return to the World Congress of Intensive Care 2019 website. 

           World Congress of Intensive Care 2019
Congress Managers: The Conference Company
Level 14, 5 Martin Place, Sydney, NSW 2000
Phone (AU): 1800 193 405
Phone (NZ): +64 9 360 1240
Email: worldcongressicu@theconferencecompany.com    
Website: www.worldcongressintensivecare2019.com      		  

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