If your billing address is different to your primary address e.g. your organisation is paying for your registration, please select “yes” below and include the correct billing details to be included on your invoice. Please make sure you fill in all billing detail fields.
PLEASE NOTE: If your LHS or organisation requires a specific billing address to pay invoices then you must enter this here to ensure the invoice is correct.
Once an invoice has been issued, we cannot update it for you. Please ensure details are correct before proceeding.
My billing address is different to my primary address
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Delegate Details
Are you a registered Health Care Professional?
Please note that this will be displayed on your name badge.
How would you describe your main professional affiliation?
Which of the following best describes your primary role?
Do you identify as Aboriginal and/or Torres Strait Islander and/or Māori?
Do you identify as Pacific Islander?
Do you want to be included on the delegate list?
No contact information is included on the delegate list, only first name, last name, position, HCP status, organisation, state and country
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Accessibility
The below questions will help ASHM make future events more accessible for all.
Do you have difficulty seeing, even if wearing glasses?
Do you have difficulty hearing, even if using hearing aids?
Do you have difficulty walking or climbing steps?
Do you have difficulty remembering or concentrating?
Do you have difficulty with self-care, such as washing all over or dressing?
Using your usual language, do you have difficulty communicating, for example understanding or being understood?
Please advise if you have any mobility or health requirements that will require assistance for your participation in this conference
Please specify your requirements
Disclaimer We are committed to providing an inclusive and accessible conference experience for all attendees. While we will make every effort to accommodate your specific mobility or health requirements, please note that there are budget limitations and timeline considerations that impact our ability to accommodate requirements. Please see Terms and Conditions for more information.
Please specify your requirements
Dietary Requirements
Dietary requirements for registrations made within 7 days of the conference commencement date are not guaranteed.
If your requirement is not listed, please select Other and a text box will be provided for you to specify your requirements
If you do not have any dietary requirements, please select None from the Dropdown list.
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