registration Personal Details First Name*: Last Name*: Address*: Suburb*: State*: Select a State Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Post Code*: Telephone*: Email*: QA & CPD No:   Diet Requirements:   SCSA Member: Discounted conference fees until 31/01/2007 Conference Details Skin Cancer Conference 2007 (Fri 23rd - Sun 25th March) $1,430 (inc $130 GST) International Dermoscopy Master Class (Course Full) (Mon 19th - Thu 22nd March) $3,960 (inc $360 GST) Both Skin Cancer 2007 & Master Class (Master Class Full) $5,060 (inc $460 GST) Conference Dinner - (Sat 24th March) [Non-Refundable] $94 (inc GST)   Total $0 (inc $0 GST) Payment Details Please select your preferred payment method: Secure Credit Card Payment    Electronic Funds Transfer Cheque Please Note Registrations will not be secured until full payment is received. Cancellation Policy: Refund of registration fee less 10%, is available until 19th Feb. 2007. After this date no refund will be available. Please book Sheraton accommodation early to avoid disappointment – discount only until 23/2/2007. N.B. Predisposing Activity forms should be handed in at the commencement of each event to be eligible for 30 Cat. 1 RACGP points.