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ASP2017 Registration
Programme and Workshops
ASP2017 Registration Form
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Indicates required field
Personal details
(
*
required)
Name (to appear on badge)
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First
Last
Title
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Prof
Dr
Mr
Mrs
Ms
Miss
Institution
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Position Held
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Postal Address
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Post Code
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Conference Registration
Registration Type. Early Bird Rate applies if registering prior to September 30th. Please note that if you attended the 2016 conference, your membership for 2017 is currently active.
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Current member - Student (early bird $260; standard $310)
Current member - Academic Staff (early bird $390; standard $440
Non-member - Student (early bird $285; standard $335)
Non-member - Academic Staff (early bird $440; standard $490
Student Day Pass (see below)
Registration Benefits include: - 2017 ASP Full Membership. - Entry to all sessions for conference duration - Morning/afternoon tea and lunch each day - Publication of accepted abstracts in Frontiers in Human Neuroscience.
Will you be attending the function (during poster session) at the end of Day 1 (no cost)
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Yes
No
If registering as a student, please specify type:
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Not applicable
Postgraduate
Honours/4th Year
Undergraduate
Do you wish to attend the post-conference workshops?
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Yes please
No thank you
Country
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Phone number
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Email
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Do you have any special food requirements that need to be considered for the conference catering?
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Yes
No
If yes, please specify:
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Is there any other information (special needs, requests, etc.) that you would like the conference organisers should be aware of?
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Student Travel Awards
Would you like to nominate for a Student Travel Award (please check the eligibility criteria below)?
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Yes
No
Prizes are worth $250 each, and will be drawn on the final day of the conference, randomly from the eligible entries
I meet all the following eligibility criteria (1) I am a current (2017) student ASP member, (2) I am presenting a paper/poster, and (3) I am travelling from outside a 150 KM radius of Sydney
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Yes
No
Payment
How will you be paying for your ASP2017 costs?
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Credit card (Visa or Mastercard)
Bank transfer
When you submit the completed registration form you will be directed to PAYMENTS page to arrange payment.
Student Day Pass
Student Day Passes can be purchased by students who are
not presenting
at the conference, but would like to register and attend sessions with full benefits of other delegates excluding student travel awards.
I would like to purchase a Student Day Pass
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No thanks
Student 1 Day Pass $75
Student 2 Day Pass $150
Non-presenting students can register to attend up to 2 days of the conference at a discounted rate. This option allows the selection of the day/s of attendance, and these can be non-consecutive. This registration does not provide 2017 society membership.
For Student Day Passes please select the days you wish to attend.
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Wednesday 29th November
Thursday 30th November
Friday 1st December
Conference Dinner
The conference dinner will be held at Sahra on Thursday November 30, at 6:30 pm. Tickets cost $95 per person, covering both dinner and drinks for the evening.
I would like to purchase the following number of tickets
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0
1
2
3
4
5
6
7
8
9
10
Do you (or your guests) have any special food requirements that need to be considered for the conference dinner?
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Yes
No
If yes, please specify:
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Submit Registration Form
