Event Registration

Please enter your details below. Fields marked with an asterisk (*) are mandatory.

Karitane Event Details

Event Name*
Event Date

Available places left

Location:

If applicable Registration fees (GST included) $

Personal Details

Title	Surname*	Given name/s*
Organisation*		Department
Position		Area Health Service
Mailing Address*
Suburb/Town*
State*		Postcode*
Mobile*		Email*
Special dietary requirements
Do you want to receive email from us?
Are you a SSWAHS Member?		Yes No
Payroll ID Number*

Registration Cancellation Policy

Cancellation of a registration must be notified in writing within 48 hours of the event to Conference Management. No refund will be made if cancellation is made less than a week prior to the event.

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