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Registration Form

 

Registration is currently open.

Please complete the following details to register your intention to attend the Adelaide Vascular Trials Course. Once we have received your registration we will reply with a confirmation notice and tax invoice via email.

If you are paying via EFT please enter “AVT-your surname" as the statement reference to ensure that we can identify your EFT payment. A remittance advice with “AVT-your surname" included on the statement must also be forwarded by email to registrations [at] avt-aus [dot] com or fax to 08 8267 3511.

Please enter the name you would like on your Course ID Badge

Please let us know if you have any special dietary or other requirements.

Please let us know how you intend to pay your registration so that we can track your payment.

Extra tickets for partners or guests to the End-of-Course Dinner are available at $150 per ticket.

If you have any further details or requests for us, please enter them into this field.

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