Registration

The Australian Commission on Safety and Quality in Health Care is hosting a One Day Workshop on Clinical Handover on 24th November 2008 at the Stamford Plaza, Adelaide (located at 150 North Terrace, Adelaide, Tel: 08 8461 1111, Toll Free Reservations 1300 301 391).

Workshop Schedule:

Time	Activity
9am	Registration (refreshments)
9:30am	Opening remarks
9:45am	Introduction
10:00am	Plenary session
10:30am	Morning tea
11:00am	Concurrent session 1
12:30pm	Lunch
1:30pm	Concurrent session 2
3:00pm	Afternoon tea
3:30pm	Concurrent session 3
4:30pm	Concluding remarks
5pm	Workshop ends

Personal Details

Title (Mr, Mrs, Miss, Ms, Prof, Dr etc):
First Name :
Last Name:
Job title:
Email Address:
Company name:
Office address:
Direct telephone (incl area code):
Mobile telephone:
Fax number (incl area code):
Name for name badge:
Special dietary requirements for lunch & refreshments:

Assistant's name:
Assistant's email address:
Assistant's direct telephone (incl area code):

Presentation Schedule:

Please indicate which sessions you would like to attend by clicking on the drop down boxes to make your selections:

Concurrent Session 1: 11am to 12.30pm	1st Choice (pick one):
	2nd Choice (if 1st choice session is full – pick one):
Concurrent Session 2: 1.30pm to 3pm	1st Choice (pick one):
	2nd Choice (if 1st choice session is full – pick one):
Concurrent Session 3: 3.30pm to 4.30pm	1st Choice (pick one):
	2nd Choice (if 1st choice session is full – pick one):

Registration Deadline:

Early Bird Registration Fee	$210 (inclusive of GST) closes on 24th October 2008
Registrations received after 24th October 2008	$230 (inclusive of GST)
Registrations Close 14th November 2008	(registrations received after this date will incur a $25 late registration fee)
Your registration fee includes the plenary session, three workshops, lunch, and morning and afternoon refreshments.

Payment:

Payment can be made via electronic funds transfer, cheque or credit card (Mastercard or Visa). Please indicate your choice below.

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PRINT TAX INVOICE

I will be mailing a cheque for my Registration

Please makes cheque payable to Catalyst Event Solutions Pty Ltd and post your cheque to Catalyst Event Solutions Pty Ltd, PO Box 49, Artarmon NSW 1570. Please indicate the name under which you have registered on the back of your cheque, if this is not the same as the cheque drawer’s name.

I am paying by EFT

Please deposit payment into the following account:

Catalyst Event Solutions Pty Ltd
BSB	012 266
Account No	4834 14768

Please detail your registration name in the payment ‘reference details’ in order that we can track receipt of your payment.

I am paying by Mastercard or Visa Card:

Full Name as shown on Credit Card:
Credit Card Number:
Credit Card Type:
Expiry Date:
CVV Security Number:

Registration Transfer:

Registrations are transferable upon advice to Catalyst Event Solutions Pty Limited – please email your replacement’s details to registrations@catalystevents.com.au.

Cancellations:

Cancellations received in writing to registrations@catalystevents.com.au prior to, or on 3rd November 2008 will receive a full refund of the registration fee, less $25 for administration charges.

Registration fees are non-refundable for cancellations received after 3rd November 2008.

If you have any questions, or need any further information,
please do not hesitate to contact:

E: registrations@catalystevents.com.au
M: 0401 716 657
T: 02 9419 4889