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| Hospital or Practice Name: |
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| Home: |
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| Work: |
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| Special dietary requirements for conference and dinner |
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| Other special requirements e.g. disability |
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| Consent to publish name in programme in list of conference delegates |
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| CONFERENCE VENUE |
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The museum of New Zealand Te Papa Tongarewa (Te Papa)
Taxis and shuttles available from airport to venue www.supershuttle.co.nz to pre book.
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| REGISTRATION PRICE (please indicate) |
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| Earlybird before 20 May 2019: |
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| 21 May to 17 July 2019: |
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| Conference presenters: NZ$100 reduction in registration price (please indicate) |
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Late registrations IF ACCEPTED after 17 July 2019:NZ$525
Registration includes two day conference programme, arrival tea and coffee, morning tea, afternoon tea and lunch both days, conference bag, welcome breakfast and the Ego conference dinner.
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| PAYMENT DETAILS (please indicate next to option) |
| Direct credit NZ Nurses Dermatology Society Inc (NZDNS) BNZ 02 0800 0818185 000 (Reference – please include First and Surname on transfer) |
| Invoice made out to : |
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| Receipt of payment will be returned by email |
| INTERNATIONAL DELEGATES: |
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Please note that the registration fee must cover the cost of bank charges for the receiving New Zealand bank account which will be an additional NZ$25 to your registration fee. Swift code for international payments is: BKNZNZ22
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REGISTRATION IS NOT CONFIRMED UNTIL REGISTRATION FORM & PAYMENT IS RECEIVED BY
Carly Scapens (NZDNS Treasurer) 027 523 8275
Email : carlyscapens@gmail.com
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| CANCELLATION POLICY |
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Cancellations must be made in writing to Carly Scapens at the above address BEFORE 17 July 2019. Cancellations will incur a $50 administration fee deducted from the refund. No refunds after 17 July 2019.
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| REGISTRATION DETAILS |
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Conference registration opens 7.15am Thursday 22nd August accompanied by Welcome breakfast by Pfizer, tea or coffee. Conference commences promptly at 8.30am
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| EGO CONFERENCE DINNER |
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Thursday 22nd August 2019, Hummingbird Eatery & Bar 22 Courtenay Place Te Aro Wellington
Number restrictions may apply, so may need to be allocated on a first-in basis. Please indicate if you would like to attend as we need the numbers for catering/reservation purposes.
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| I would like to attend the Ego dinner on Thursday night |
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| ACCOMMODATION |
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Conference delegates to arrange their own accommodation.
We have secured a discounted rate at The West Plaza Hotel - USE NZ Dermatology Nurses of NZ as the code to get the following rates: $150.00 NZD per night, per room Queen Room or $165.00 NZD per night per room inclusive of 1 full breakfast. Parking is available for $25.00 per night. WIFI is unlimited. Reservations need to be booked through reservations@westplaza.co.nz or phone 04 473 440 Ext 249. Dont forget to use the code Dermatology Nurses of NZ.
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