4th World Stroke Congress
25-29 November 2000
Online Registration Form
Contact Details
Name
*
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*
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*
Please choose a country
Afghanistan
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Morocco
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Nigeria
Niue
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Panama
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Peru
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Saint Lucia
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Sierra Leone
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Sweden
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Tanzania
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Tonga
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Tunisia
Turkey
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Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Vatican City State
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Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Email
*
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Telephone
Area code
)
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Number
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Mobile or cell phone country code
(
Mobile or cell phone area code
)
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Fax Number
*
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Fax area code
)
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Accompanying Person
Title
Given Name
Family Name
Accompanying Person Title
Accompanying Person Given Name
Accompanying Person Family Name
Special Requirements
eg. Vegetarian, wheelchair access
*
Required field
Registration Fees
ISS Member Delegate
@ $845
Non Member Delegate
@ $970
Registrar PhD or Higher Degree Students
@ $485
Allied Health Nursing Staff
@ $275
Day Registration - Monday
@ $375
Day Registration - Tuesday
@ $375
Day Registration - Wednesday
@ $375
0
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9
10
Accompanying Persons @ $60
Teaching Courses
Sunday 26 November 0900-1200
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Critical Care for Stroke @ $75
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Clinical Trial Design and Interpretation @ $75
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The Heart and Stroke @ $75
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Interventional Radiology @ $75
Sunday 26 November 1400-1700
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Basic Neuroscience for Clinicians @ $75
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Young Stroke @ $75
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Neurosonology @ $75
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Neurorehabilitation @ $75
Breakfast Workshops
Monday 27 November
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MR Imaging @ $15
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Unruptured Aneurisms @ $15
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Stroke Editorial Board @ $15
Tuesday 28 November
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9
10
Controversies 1 - Angioplasty vs Endarterectomy @ $15
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Sleep Apnoea @ $15
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VITATOPS @ $15
Wednesday 29 November
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Organisation of Stroke Services @ $15
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Endarerectomy Results @ $15
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Cochrange Workshop @ $15
Social Program
Sunday 26 November
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Official Opening and Welcome Reception
Tuesday 28 November
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Congress Dinner @ $110
Local Tours
Saturday 25 November
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City Orientation Tour @ $50
Sunday 26 November
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Sunday Markets Tour @ $49
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Kangaroo Watch @ $99
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City Orientation Tour @ $50
Monday 27 November
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Penguins on Parade @ $90
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Optional Lobster Dinner @ $60
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Colonial Tramcar Restaurant (early) @ $72
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Colonial Tramcar Restaurant (late) @ $105
Tuesday 28 November
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Museum of Modern Art @ $49
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Koori Walkabout @ $99
Wednesday 29 November
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Kangaroo Watch @ $99
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Australian Animals @ $140
Thursday 30 November
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The Great Ocean Road @ $99
Payment Details
All payments must be made in Australian Dollars.
Payment by credit card is mandatory for registration online. Cheque or overseas bank drafts are not permitted for electronic submission. Charges will appear as ICMS Pty Ltd on your credit card statement.
Card Type
Mastercard
Visa
American Express
Cardholder's Name
Card Number
Expiry Date
Month
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Year
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Note to Congress Office
If you have any special comments for the Congress Office please write a short note here.
Note