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