Registration Form

The mission of the Australasian Brachytherapy Group is to advance the practice of brachytherapy within the Australasian region. It aims to develop, promote and maintain the highest standards of brachytherapy practice and ethics.

The ABG promotes all aspects of brachytherapy for the benefit of the community while maintaining standards for quality assurance in the fields of Radiation Oncology, Physics, Technology and Biology in areas pertinent to the practice of brachytherapy.

The annual scientific meeting encourages research, collaboration and promotes the exchange of scientific information in Brachytherapy.

APPLICATION FOR MEMBERSHIP

The Australasian Brachytherapy Group Incorporated (under the Associations Incorporated Act 1984)
PERSONAL INFORMATION
Please select one of the following category:

By providing us with your personal information, you acknowledge that such information may be used to enable us to update you with information in relation to the Australasian Brachytherapy Group as appropriate. Member details may also be made available to sponsors and corporate members. If you do not wish your contact details to be given to third parties, please tick the "Privacy Please" box below.



I hereby apply to become a member of the above named incorporated association. In the event of my admission as a member, I agree to be bound by the rules of the association for the time being in force.


Payment Options:

By Cheque or Money Order payable to:

The Australasian Brachytherapy Group – Membership Account Return with form to the below address

By Credit Card:

Please phone Key Conference Solutions on +61 3 9870 2611 to make arrangements to pay by credit card.

By Direct Deposit to:

BSB 062212

Account 10489501

Account Name: The Australasian Brachytherapy Group – Membership Account

Please insert your name as reference

For any query contact us at:

Key Conference Solutions Level 1, 120 Railway Avenue Ringwood East, VIC 3135

Phone: +61 3 9870 2611

Fax: +61 3 9870 1723

Email: events@conferencesolutions.com.au

Fees (including GST)

Full Membership (Annual) : $55 AUD

Executive Membership (Annual) : $220 AUD

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