Advancing Clinical Education       

La Trobe University            Monash University

LEVEL 1 REGISTRATION 
Required**
Title**                          
First Name**   
Family Name**
Profession**
Organisation**
Address Line 1**
Address Line 2
Suburb/City** 
State**           Postal Code**    
Phone**    Business Fax   
E-Mail Address **   all correspondence will go to this address
 Is this your Work Address?
Special Dietary Requirements
Send Correspondence E-Mail     
 

Registration Information

 

All prices are GST inclusive. The concession rate of $450 for the full course (3 days) is available to clinicians with major clinical education responsibilities for La Trobe University (Faculty of Health Sciences) students, Deakin University Dietetics students or Monash University Pharmacy or Radiography students.

Full price $600.
Venue: City Campus, La Trobe University, 215 Franklin St Melbourne


Program Dates

Program 1: - Tuesday 14, Wednesday 15, Thursday 16 February 2012
Program 2 - Friday 22 June, Friday 29 June and Friday 6 July 2012

 

($AUD) 

   
Total Registration Amount Due ($AUD)          

If you have chosen the Concession Rate:

 

In order to qualify for the Concession Rate please provide information about your clinical education responsibilities with the relevant schools/faculties:

 

 

  

Please note:

 

You will be sent a tax invoice by email. Please ensure your system can receive email from AST management.  The email will contain payment method details.

 

If your organisation will be paying your registration please forward a copy of the Tax Invoice to the relevant person.  Once payment has been received, a receipt and confirmation will be emailed to you.

 

Please note: Your registration will be processed in the next 8 business hours.  You will receive a tax invoice by email which will include the link to the payment gateway if you wish to pay by credit card.  If you do not receive any correspondence,  contact  the secretariat.