Register Your Attendance at ANZAPS 2012 – Bendigo 21-23 September 2012

ANZAPS 2012 will be held at the La Trobe University Visual Arts Centre, View St Bendigo starting at 2:30pm on Friday 21 September and ending at lunchtime Sunday 23 September 2012. To register, please complete the form below

    First Name (required)

    Last Name (required)

    Institution/Organisation (required)

    Your Email (required)

    I will be presenting at ANZAPS:
    YESNO

    I will be attending the Civic Reception
    (Bendigo Town Hall Friday 21 September at 6:30pm)
    YESNO

    I will be attending the Conference Dinner
    (Own Cost) Saturday 22 September 7:30pm
    YESNO

    Any special dietary requirements?

    Any other comments or requirements?

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