SURF, SAND & SOUNDWAVES KINGSCLIFF CONFERENCE 2015 DMU Examiners’ Course Sunday 1 March 2015 8:30 –12.00pm This course is a prerequisite for DMU examiners and should be attended every 3 years. If you are a DMU examiner and are due for a refresher or would like to become an examiner please register to attend this short course to learn all about the Diploma of Medical Ultrasound (DMU) Learn about the assessment process and roles available for examiners including case-based assignment marking, case-based discussion examining and Mini-CEX assessment examining Theory and scenarios will be covered to ensure that all outcomes are achieved Registration essential. Only available to ASUM members. LEARN... ESCAPE AND UNWIND DATE Sunday 1st March 2015 TIME (AEDST) Start: 8.30am Finish: 12.00pm Morning tea included VENUE Mantra on Salt Beach Gunnamatta Avenue Kingscliff NSW 2487 CPD POINTS 3 MOSIPP/ASAR points REGISTRATION ASUM members only: Free REGISTRATION FORM CLICK HERE TO DOWNLOAD Registration closes: Friday, 20th February 2015 ENQUIRIES Cathy McCully Events Assistant Ph (02) 9438 2078 [email protected] + ASUM CPD WORKSHOPS SURF, SAND & SOUNDWAVES Kingscliff Conference 2015 REGISTRATION FORM Editable Document for fast and easy completion All fields must be completed. Please use or to complete all relevant check boxes Are you a current ASUM Member? Yes Member Number: No Membership Application Attached (see below) MAKING THE MOST OF ASUM ASUM Half Year Membership fee for Sonographers is now available for $224 (membership year concludes 30th June 2015) Event registration fee for non-members is (usually) $200*, so for only $24 extra enjoy many savings and benefits over the next 6 months Click here for our event calendar ASUM CPD FORTHCOMING EVENTS Registering for: Please indicate Title / First name / Surname Gender: M Postal Address: F D.O.B. Home / / Saturday only Workshops Sunday only DMU Examiners’ Work Both days Suburb: State: Phone: Work ( ) Postcode: Special dietary requirements: Payment: MasterCard Visa Bank Draft in Australian Currency Australian Money Order Cheque (in AU$ drawn on an Australian Bank) Credit Card No: Highlight and replace boxes below with relevant numbers Amount: $ Cardholder’s Name: REGISTRATION FEES DMU Students: Free Members: $150 Non-members: $300 BECOME AN ASUM MEMBER DMU EXAMINERS’ COURSE st Sunday 1 March 2015 Start: 8.30am AEDST Finish: 12.00pm AEDST Morning tea included CPD POINTS 3 MOSIPP/ASAR points REGISTRATION ASUM members only: Free _____________ __ VENUE Mantra on Salt Beach Gunnamatta Avenue, Kingscliff NSW 2487 RETURN FORM(S) VIA Fax: (02) 9438 3686 Email: [email protected] Mobile: Email: Expiry Date: / CPD POINTS 6 MOSIPP/ASAR points 7 RANZCOG points _____________ __ Half Yearly Membership now available - BECOME AN ASUM MEMBER Name: CONCURRENT WORKSHOPS th Saturday 28 February 2015 Start: 8.30am for 9.00am AEDST Finish: 5.00pm AEDST Morning tea, lunch & afternoon tea included Date: / / Cardholder’s Signature: *ASUM workshops usually incur a non-member registration fee of $200; however the non-member fee for the two day annual Kingscliff Conference is set at $300. Cancellations and Refunds: ASUM reserves the right to re-schedule this event if insufficient registrations are received. A cancellation request must be received in writing to ASUM Head Office at least 7 days prior to this event. No refund will apply after this date. Return this form by faxing to +61 2 9438 3686 or via email to [email protected] If you do not receive a confirmation of receipt within 1 week of submitting your application (allowing for delivery with postal applications and processing time), please contact the ASUM office on +61 2 9438 2078. Registration closes: th Friday, 20 February 2015 ENQUIRIES Cathy McCully Events Assistant Ph (02) 9438 2078 [email protected] PLEASE NOTE Accommodation bookings need to be made directly with Mantra on Salt Beach using their reservation form (see the Kingscliff event flyer for rates & booking information). CONFERENCE: DATES: ASUM Conference Guests Details 27 Feb - 1 March 2015 Booking Ref Number: First name: Address: Phone: Fax: No. of Adults: Special Requests: #2575208 Surname: Email: Arrival Time: No. of Children and Ages: Bedding Configuration Room Type Arrival Date (Please circle) King Hotel Room B&B Departure Date Number Of Rooms Per Night Rate Per Room Per Night Twin singles $159.00 King $205.00 Extra Bedding Sofa bed $40.00 Extra Bedding Cot $10.00 1 Bedroom Spa Suite B&B Extra Breakfast $20.00 Please Note: Hotel Rooms accommodate 1 to 2 guests, One Bedroom Suites accommodate 1 to 3 guests (3rd person extra charge) & Two Bedroom Suites accommodate 1 to 5 guests (5th person extra charge). BOOKING TERMS & CONDITIONS: w For cancellations within 30days of arrival fees will apply w All room types are subject to availability at the time of enquiry w No show bookings will be charged for the first night w All credit card transactions will incur a 2% surcharge w Check-in from 2pm. Upon check in, you will be required to present a credit card for a pre-authorisation. If you do not have a credit card, you are required to provide valid photo identification for front desk to copy, prepay your total accommodation and leave a $100.00 cash deposit which will be refunded less any incidental charges on check-out w Check-out is by 10am on the day of your departure w Special requests will be noted on your booking. All requests are subject to availability only and cannot be guaranteed w Tax Invoices will ONLY be provided upon check out. Receipts for advanced deposits will be issued w Should you wish to extend your stay post conference, we would be happy to offer you these same rates CREDIT CARD DETAILS (Please complete to confirm your reservation): q AMEX q MASTERCARD q VISA q DINERS Expiry Date: Card Number: q JCB / Name on Card: Is this credit card to be used for: q Security to hold booking q Pay for Accommodation ONLY q To pay for Accommodation and all incidentals If using credit card supplied to pay for Accommodation would you like to prepay? q Yes Please supply an email address for your tax invoice to be sent: PLEASE RETURN THIS FORM TO RESERVATIONS - Email = [email protected] OR Fax = 02 6670 5111 q No
© Copyright 2024