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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