Clinical Neurophysiology Workshop Registration

All prices include GST

I am a advanced trainee (affiliated with ANZAN)  or full-time PhD student with an accepted abstract.

I will be attending the bbq.

My partner will be attending the bbq.

No of children attending the bbq.

I will be attending official dinner.

My partner will be attending official dinner.

I agree to my name being included in a list for distribution to sponors (eg, John Smith, Melbourne)

I will require accommodation at the Sheraton Mirage Resort and Spa. Accommodation must be booked directly with the Sheraton

No of children for accommodation.