NAMES 2019

LOYALTY
RATE*
(before March
15, 2019)

EARLY
BIRD
(before June
26, 2019)

STANDARD
RATE
(after June
25, 2019)

PACKAGE *

Full event (Symposium & Workshop) Symposium only (Thursday & Friday) Symposium 1 day (Thursday) Symposium 1 day (Friday) CES EduPack Workshop only


$615	$640	$720
$410	$420	$480
$220	$250	$310
$220	$250	$310
$270	$290	$330

*The Loyalty Rate is available to past attendees who are re-registering using the supplied voucher code.

Please select which additional activities you would like to attend:

Presenters' Dinner (only for presenters, limited to 1 place per presentation) - $0 Symposium Dinner $65 Symposium Dinner Guest - $65

Guest Name:

Please indicate whether you would like to speak and/or will present a poster:

I am submitting an abstract to speak I am submitting an abstract to present a poster I am happy for my presentation to be included in the Symposia Archive, and for it to be shared with past attendees

Note: speakers and poster presenters are selected by the Advisory Committee

Dietary requirements

Vegetarian

Guest's dietary requirements

Vegetarian

Title *

Name *

First Name Last Name

Organization *

Position *

Dept/Floor

Phone *

Email *

example@example.com

Address 1 *

Address 2

Address 3

City

State/County

ZIP/Postcode *

Country *

Other country

Payment Method

Online Credit Card Payment (If your card payment is declined, please contact your bank) Pay by invoice (only available until June 30)

PO number (optional)

Payment Extras

I am a graduate student (30% reduction in the cost of attending)

Discount code:

TOTAL

${totalCalculation}

TOTAL CALCULATION

EARLY BIRD

Date

Comments

My contact details (email address, phone) can be shared with other attendees

How did you hear about this event? *

My contact details (email address, phone) can be published in the event booklet so that other attendees can contact me.

Please check the details you have entered carefully before submitting:

By email

By phone

By post

Your registration

Your Details

Payment Options