NAMES 2019

Your registration

LOYALTY
RATE*
(before March
15, 2019)

EARLY
BIRD
(before May
18, 2019)

STANDARD
RATE
(after May
17, 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:
Your Details
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 Options
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

- Month - Day Year
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
Should be Empty:

Your registration

Your Details

Payment Options