This registration form can be used for the following courses and lectures.


Name

Start Date/Time

Cost

Nurse Course - Infectious Diseases

14-11-2011

330.00

VetEducation Conference - Clinical Stream - Individual Registration

22-08-2011

280.00

VetEducation Conference - Full Conference Registration

22-08-2011

600.00

VetEducation Conference - Individual registration

22-08-2011

360.00

NOTE: All prices indicated are in Australian Dollars (AUD)

NOTE: Practice registration allows for up to 5 participants to attend the web-seminar. If you are registering your practice, please send an email to info@veteducation.com.au with the names, contact telephone number and email addresses of all participants who will be attending the lecture. This will ensure all attendees receive lecture registration details, lecture notes, and download links to the post-lecture video recording.

Course/Lecture:

*

Registration Details:

 

First Name:

*

Last Name:

*

Veterinary Clinic:

*

Occupation:

*

Address Type:

*

Address:

*

Suburb:

*

Postcode:

*

State:

*

Country:

*

Contact Details:

 

Contact Number Type:

*

Phone Number:

*

Fax Number:

Email Address:

*

Confirm Email Address:

*