Registration

Closing date for registration - Friday 27th August 2010 

Fee: (Inclusive of GST)

To Register:

1. Complete the registration page on the flyer [also linked below] with a cheque made payable to:

"ANAESTHESIA SCIENTIFIC FUND Y 7558"

and send to:

Ms Louvella D'Souza
Department of  Anaesthesia and Perioperative Medicine,            
The Alfred,
PO Box 315, Prahran, Vic 3181

OR

2. Complete and return the form below by post, fax or email after payment by bank transfer. Please ensure that your name is on the transfer and email payment details. 

Account name : Anaesthesia Scientific Fund Y7558 
                        Baysidehealth General Account 

Bank:               Westpac

BSB:                033-079 

Account:           114772

Telephone  Inquiries:

Ms Louvella D'Souza
Phone: (03) 9076 3176
Fax:     (03) 9076 2813

Email: L.Dsouza@alfred.org.au