ACMA Conference 2020 Registration Form
Full Name *
Your answer
Gender *
Please state your profession *
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What organisation do you work for/art you part of? *
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Email address: *
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NZ/Australian Contact Number *
Your answer
Registration fee without banquet dinner *
NZMC/AMC Number for Doctors requiring MOPS or CME points *
Your answer
I would like to attend the banquet dinner after the conference ($30) *
Dietary requirements *
Your answer
What would you like out of this conference? *
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