ANZAOMS NZ Branch ASM 2025 Delegate Registration Form

ANZAOMS NZ Branch ASM 2025, 1-2 August - Queenstown, NZ

Delegate Registration Form
Title
Name:*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / 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?*
Dietary Requirements*
Please enter Nil or N/A if you have no specific requirements
Payment
My Products*
prevnext( X )
Full Member
$1,350.00NZD



Full Member Virtual Only
$1,150.00NZD



Registrar
$650.00NZD



Registrar Virtual Only
$550.00NZD



Non-Member
$1,650.00NZD



Non-Member Virtual Only
$1,450.00NZD



Retired Member
$340.00NZD



Retired Member Virtual Only
$300.00NZD



Nurse
$550.00NZD



Nurse Virtual Only
$450.00NZD



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

$160.00NZD Quantity



Subtotal

$0.00NZD

Tax

$0.00NZD

Total

$0.00NZD
Should be Empty:

ANZAOMS NZ Branch ASM 2025, 1-2 August - Queenstown, NZ