ANZAOMS NZ Branch ASM 2025, 1-2 August - Queenstown, NZ
Delegate Registration Form
Title
Name:
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
One ticket to the conference dinner is included in the face to face registration rate. Please advise if you will be attending the dinner?
*
Please Select
Yes
No
N/A (Virtual Registration)
Dietary Requirements
*
Please enter Nil or N/A if you have no specific requirements
Payment
My Products
*
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( X )
Full Member
$
1,350.00
NZD
Full Member Virtual Only
$
1,150.00
NZD
Registrar
$
650.00
NZD
Registrar Virtual Only
$
550.00
NZD
Non-Member
$
1,650.00
NZD
Non-Member Virtual Only
$
1,450.00
NZD
Retired Member
$
340.00
NZD
Retired Member Virtual Only
$
300.00
NZD
Nurse
$
550.00
NZD
Nurse Virtual Only
$
450.00
NZD
Additional Dinner Tickets
Saturday 2 August. One dinner ticket is included in the face to face registration rate, any tickets for partners or guests will need to be purchased
$
160.00
NZD
Quantity
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