AAIC Satellite Symposia

AAIC-SS Australia

Start Date:
End Date:
Location:
Hyatt Regency Sydney

* = Required Fields

Attendee Information
Event Preferences
1.
2.
3. Field Is Required Do you have any dietary needs? (Select one of the available choices or enter a different value.)
4. Field Is Required Residency Status
5. Field Is Required Age
6. Field Is Required Highest Credential
7. Field Is Required Do you teach at a university?
8. Field Is Required Gender
9. Field Is Required Primary Discipline/Specialty (Select one of the available choices or enter a different value.)
10. Field Is Required Which of the following describes your current position? (Please make up to 3 selections from the choices below.)

Please provide the name and phone number (including country code) of an emergency contact:

11.
12.

In the event of an emergency during the AAIC-SS Sydney, please provide the name and phone number (including country code) of a contact that will be onsite with you:

13.
14.
Available Ticket Classes

Price

Ticket Class

Available

Limit

Quantity

$150.00
Professional No Limit 1
Total Tickets:
0
$0.00