GPDV

The thing about quality: how and why?
3rd General Practice Divisions Victoria Conference

4 – 5 April 2003
Hotel Sofitel, Melbourne

EARLY BIRD REGISTRATION CLOSES ON FRIDAY 21 FEBRUARY 2003

FULL REGISTRATION INCLUDES

• Two day conference
• Name badge, conference satchel and materials
• Conference program
• Cocktail reception on Friday evening
• All lunches and morning and afternoon refreshments
• Entry to trade exhibition

DELEGATE REGISTRATION

Title
First Name (required)
Family Name (required)
Badge Name (only if different from above)
Job Title
Position
Organisation
Address (required)
Suburb/City (required)
State Postcode  
Business Phone Business Fax  
Mobile Phone
Email Address
   
Special Dietary Requirements
Any Disabilities?
   
How do wish to receive your confirmation letter & Tax invoice? Mail Fax Email
   
   
   
Registration Type Earlybird Full Registration $400.00
  Earlybird Day Registration - Day One $300
  Day Registration – Day Two $250
  Group Registration – 4 or more from same organisation $375.00
  Late Full Registration - $490
  Late Day Registration – Day One $350

Group Registration - Full Registration from the same organisation of four or more delegates attracts a $25.00 discount per registration.
   
Cocktail Reception on 4 April is included in Full Registration fee.
Number of additional tickets at $65.00 per person

CONCURRENT SESSIONS

To assist with planning, please indicate your preferred sessions below. Details of presenters for each session are available on the GPDV website.

Friday 4 April 2003 2.30 – 4.00 pm
   
Saturday 5 April 2003 11.30 am – 1.00 pm

ACCOMMODATION BOOKING

The following special rates have been negotiated with leading local providers to ensure delegates have accommodation options that suite their needs and budget. All are conveniently located within a short walking distance of the venue. A deposit equal to one night’s accommodation is required. This is essential to guarantee your booking. No booking will be confirmed until a deposit is received. (Prices quoted per room per night and include GST).

Hotel Sofitel – 5 star
25 Collins Street, Melbourne
Single/Twin/Double $250.00

Stamford Plaza – 4.5 star
111 Little Collins Street, Melbourne
One Bedroom Suite (Single/Twin/Double) $191.00
Two Bedroom Suite (Sleeps Two Doubles) $291.00

Mecure Hotel – 3.5 star
13 Spring Street, Melbourne
Single/Twin/Double $138.00

Hotel
Room Type
Accommodation Deposit Due $250.00 $191.00 $291.00 $138.00
Check in Date Arrival Time
Check out Date
If sharing please indicate the name/s of the person/people with whom you are sharing
 
Please indicate your second choice of hotel in case your first choice is unavailable
 
I accept the Accommodation Terms & Conditions outlined in the Conference Registration Brochure (please tick) (required)
TOTAL REGISTRATION AMOUNT DUE (including one nights accommodation deposit)

PAYMENT METHODS

Please make cheques payable to GPDV and send to CLEMS, 60 Barry Street, Carlton Vic 3053

Credit Card Payments – Please print the attached form and fax to CLEMS on 03 9431 5167 with the
Authorisation details. Credit Card Authorisation Form

CANCELLATION POLICY

All cancellations must be in writing to the Conference Organisers/ Cancellations received by 20 March 2003 will be accepted and fees refunded less $100.00 administration fee. Cancellations after this date cannot be accepted, however transfer of registration to another person will be accepted.


CLEMS All enquiries: CLEMS
Tel 03 9439 3855
Fax 03 9431 5167
Email clems.sg@bigpond.com