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)

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