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Enrolment form

2019 JUL Advanced Skin Cancer Surgery Workshop - Melbourne - Rydges on Swanston

Your details

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Dietary requirements
Occupation
Membership

Are you a Skin Cancer College Australasia member?

Yes, I am a current member

Colleges

Enter any college numbers for accreditation.







Medical registration

Medical registration (if applicable)



Your postal address






Optional exam

You have the option to sit an exam at the end of your course. You must sit, and pass, this exam to receive your certificate.

I wish to sit the exam

Privacy

The Australian Privacy Act 2001 and the New Zealand Privacy Act 1993 provide that before your name and contact details can be published on the list of event delegates for distribution to fellow delegates or any other party, you must give your consent. If you don't wish your details to be included check the box below.

I DO NOT wish to have my name and contact details included in the list of delegates

CPD Information

RACGP: 40 Cat 1 points. ACRRM: 30 PRPD and 30 SURG MOPS points.

Prerequisites information

I understand that my registration will be cancelled if I do not meet the pre-requisite entry requirements for this workshop as shown at http://www.skincancercollege.org

Terms and conditions

I have read and agree to the Terms and Conditions for registration fees as shown at http://www.skincancercollege.org. I understand that my registration is not confirmed until my payment has been processed and I have received a tax invoice.

Discount Code

If you have a valid discount code please enter it here.