Registration Personal DetailsTitle*Surname*First Name*Email Address* Institutional/Professional Affiliation (if applicable)PositionAMSN 4 Conference Registration InformationRegistration fees cover entry to all panel and keynote presentations, daytime catering over three days, the evening reception on 26 October and a conference pack. The Day Rate covers entry, a conference pack and catering for one day, as well as entry to the evening reception on 26 October. Registration Type*Standard - new or renewing memberStandard - current AMSN memberStudent/part-time waged/unwaged - new or renewing memberStudent/part-time waged/unwaged - current AMSN memberStandard - new or renewing member registration*Early Bird Registration (up to 3 August) - $340Late Registration (after 3 August) - $380Day Pass - $170Standard - current AMSN member registration*Early Bird Registration (up to 3 August) $300Late Registration (after 3 August) - $340Day Pass - $150Student/part time waged/unwaged - new or renewing member registration*Early Bird Registration (up to 3 August) - $160Late Registration (after 3 August) - $200Day Pass - $100Student/part time waged/unwaged - current AMSN member registration*Early Bird Registration (up to 3 August) - $145Late Registration (after 3 August) - $185Day Pass - $80Would you also like to complete your AMSN membership details now?YesNoMembership InformationTo facilitate the exchange of expertise, members’ current research interests and two representative publications are listed on the AMSN website under the ‘Current Members’ section, along with their name, position and institutional affiliation (if applicable), email address and personal webpage address (if provided). Members will be contacted by email periodically (approximately every 12 months) and invited to submit updated information about their research interests and publications.Street AddressSuburbPostcodeStateCountryCurrent Fields of InterestPlease include up to 5 keywords below, separated by semi-colonsCurrent project synopsisRepresentative publications - Title 1Representative publications - Title 2Personal Website PaymentPayment is handled via Paypal. After submitting this form you will be directed to Paypal to pay for your purchase and then be returned to this site.Total $ 0.00 NameThis field is for validation purposes and should be left unchanged.