DC Conferences home Home 2009 Best of ASCO® Meeting Flyer 2009 Best of ASCO® Meeting Program Conference brochure International Guest Speakers Program overview Scientific program Pre Conference Meetings Post Conference Meetings Accommodation Social Program Sponsors and exhibitors Travel Information

Conference registration for the MOGA 2009 Annual Scientific Meeting and 2009 Best of ASCO® Meeting

Delegate InformationTitle First Name Family Name Email Position Organisation Name Address for correspondence Suburb State Postcode Country

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If you are outside Australia please provide your country code.

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Name for badge Dietary requirements

Delegate status Membership Registration type Day registrants please indicate your day

Accommodation

All conference hotels have now reached full capacity and will not be taking anymore bookings.

Accommodation

The Hyatt Hotel Canberra

Park King Room Single occupancy - $280 Park King Room Double occupancy - $280 Park King Room Twin share - $280 Club Room Single occupancy - $360 Club Room Double occupancy - $400 Club Room Twin share - $400

Rydges Lakeside

STANDARD ROOM - SINGLE - $199 STANDARD ROOM - TWIN - $199 STANDARD ROOM - DOUBLE - $199

Dates Date in: Day Month Date out: Day Month

If twin sharing accommodation, please state sharer’s name (Room will be reserved in 1 name only)

Sharer's name

If you have any special accommodation requirements please state them here.

Special requirements

Choose your payment option for accommodation.

Use credit card number (quoted at the end of this form) as guarantee Make payment in full

Social Program

Social functions are included in delegates' registration fees. You must indicate your attendance below and any additional tickets you wish to purchase.

Welcome Reception, Wednesday 12 August, 6.30 – 7.30pm
The Atrium, Hyatt Hotel Canberra (included in registration fee) additional tickets $35 per person.

Yes, I will be attending this social function I will NOT be attending this social function Total tickets required

Gala Black Tie Anniversary Dinner, Friday 14 August, 7.30pm
Parliament House (included in registration fee) additional tickets $90 per person.

Yes, I will be attending this social function I will NOT be attending this social function Total tickets required

Sub total Social program sub total $

2009 Best of ASCO® Meeting

Registration for the Best of ASCO® Meeting has now closed.

Change to the Program: Best of ASCO® will now be commencing at 9am on Saturday August 15, with registrations opening at 8am.

Saturday 15 August – Sunday 16 August
MOGA Members (complimentary)
Non members $180

Yes, I will be attending I will NOT be attending

Roche Australia Program Dinner, Saturday 15 August, 7.00pm
Dinner is complimentary for registered attendees.

Yes, I will be attending I will NOT be attending

Sub total 2009 Best of ASCO® Meeting sub total $

Industry Symposium

Wednesday 12 August 4.00 - 5.00pm

Yes, I will be attending this symposium I will NOT be attending this symposium

Bristol-Myers Squibb Platinum Sponsor Symposium

Wednesday 12 August 5.00 – 6.30pm

Yes, I will be attending this symposium I will NOT be attending this symposium

Meet the Professor Breakfast Sessions

Thursday 13 August, 7.30 – 8.30am
Maximum number of attendees: 45

1. Thomas Rohan Insulin and cancer: Too much of a good thing?

Yes, I will be attending this session I will NOT be attending this session

2. Derek Raghavan Organising Cancer Research

Yes, I will be attending this session I will NOT be attending this session

Friday 14 August, 7.30 – 8.30am
Maximum number of attendees: 45

3. Will Foulkes Triggers for Referral to a Genetics Service

Yes, I will be attending this session I will NOT be attending this session
4. Thomas Hutson Advanced Renal Cell Carcinoma IS NOW FULL

Registration Payment Medical Consultant MOGA Members After 19 June $800 Medical Consultant Non-MOGA Members After 19 June $900 Trainees $400 Medical Consultants Day Registrations After 19 June $450 Trainees Day Registrations After 19 June $250

Trade company registrations are limited to a maximum of 6 per exhibition space.

Trade Complimentary Trade additional company rep $300

Sub total Registration sub total $

Delegate Register Please delete my name from the delegate list available to all delegates at the conference.

Source

Please tell us where you heard about this conference.

I heard about it as a MOGA Member

If you heard about this conference from a source other than the association of which you are a member, please tell us here.

Other please state

Payment Method

EFT - ELECTRONIC FUNDS TRANSFER
Please quote surname and initial of delegate
Bank CBA
BSB 062 151
Account Number 1026 5083
Please email or fax confirmation to DC Conferences when payment has been made.

Invoice me please* Personal or company cheque payable to MOGA Annual Scientific Meeting Bank draft EFT Credit Card

*Alternate name and email for invoice

Name and email address for invoice if different from delegate details.

Name Email

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