World Congress in Medical Ultrasound - Conference On The Net

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Registration and Accommodation FormRegister online at the Congress websitewww.wfumb2009.comThis form becomes a Tax Invoice upon payment. Please retain a copy for your records.In registering for this congress, relevant details will be incorporated into a participant list for the benefit of all delegates (name andorganisation only). Details may be made available to parties directly related to the congress including venue and accommodationproviders (for the purpose of room bookings and congress options), key sponsors (subject to strict conditions) and to inform you viaemail of future conferences. Please tick the box below if you do not wish to have your name included in the participant list.Please as appropriate: I Do Not ConsentPlease complete and return this form,accompanied by your payment in Australian Dollars to:WFUMB 2009C/- ICMS Pty Ltd84 Queensbridge StreetSouthbank VIC 3006AUSTRALIATelephone: +61 3 9682 0244Facsimile: +61 3 9682 0288Email: info@wfumb2009.comContact Details and Delegate Information(Please print in block letters)Please as appropriate: Sonographer Medical Doctor Scientist OtherTitle (Prof/Dr/Mr/Ms/Mrs/Miss) : Given Name : Family Name :Position : Department :Organisation :Mailing Address : Postcode :Country :Telephone Business : Mobile : Facsimile :Email :Accompanying Person Title: Given Name : Family Name :Special Requirements: (eg: Dietary, wheelchair access, other please state) :Please if and as appropriate: I am a member of ASUM AFSUMB AIUM EFSUMB MASU FLAUS Other Medical OtherRegistration FeesUntil May 2009 Until July 2009 From Saturday, 1 August 2009 Total Registration FeesDelegate 5 Day Registration (Includes 1 Live Scanning Workshop) 1,320.00 1,470.00 1,620.00 A$Delegate 3 Day Registration 990.00 1,140.00 1,290.00 A$Student 5 Day Registration * (Includes 1 Live Scanning Workshop) 990.00 1,140.00 1,290.00 A$Student 3 Day Registration * 770.00 920.00 1,070.00 A$Day Registration 440.00 490.00 540.00 A$Developing Countries 5 Day Registration ** (Includes 1 Live Scanning Workshop) 990.00 1,140.00 1,290.00 A$2 Day Registration (Point of Care Wednesday to Thursday) 770.00 770.00 770.00 A$Accompanying persons 195.00 195.00 195.00 A$* Please fax evidence of your student status, noting Congress name to +61 2 9475 0364.** Please refer to the Congress website for a list of Developing Countries www.wfumb2009.com Registration Fees Sub-Total A$Day(s) of Registration indicate day(s) attending: Sunday Monday Tuesday Wednesday ThursdayLive Scanning Workshops A$110 per session Minimum numbers applySunday, 30 August 200910:30 – 11:10ororor11:20 – 12:00ororor14:00 – 14:40orororMusculoskeletal workshop: shoulderMusculoskeletal workshop: forefoot pain assessmentO & G workshops: fetal biometryPaediatric hips A$ 110.00Paediatric hipsMusculoskeletal workshop: shoulderMusculoskeletal workshop: forefoot pain assessmentO & G workshop: fetal biometry A$ 110.00Musculoskeletal workshop: elbow, collateral ligaments,biceps, brachii apparatus and joint space accessMusculoskeletal workshop: lateral hipO & G workshop: 12 week scanVascular workshop: carotid stent A$ 110.0014:50 – 15:30ororor16:00 – 16:40ororor16:50 – 17:30orororMusculoskeletal workshop: elbow, collateral ligaments,biceps, brachii apparatus and joint space accessMusculoskeletal workshop: lateral hipO & G workshop: 12 week scanVascular workshop: carotid stent A$ 110.00Musculoskeletal workshop: brachialplexus and upper limb nervesMusculoskeletal workshop: wristO & G workshop: 18-20 week scanVascular workshop: upper arm A$ 110.00Musculoskeletal workshop: brachialplexus and upper limb nervesMusculoskeletal workshop: wristO & G workshop: 18-20 week scanVascular workshop: upper arm A$ 110.0010Please check the Congress website for up-to-date informationwww.wfumb2009.com
Live Scanning Workshops continuedMonday, 31 August 200908:30 – 09:10ororor09:20 – 10:00ororor10:30 – 11:10ororor11:20 – 12:00orororTuesday, 1 September 200908:30 – 09:10oror09:20 – 10:00oror10:30 – 11:10ororor11:20 – 12:00orororWednesday, 2 September 200908:30 – 09:10oror09:20 – 10:00oror10:30 – 11:10oror11:20 – 12:00ororMusculoskeletal workshop: ankleMusculoskeletal workshop: shoulderO & G workshop: 3D/4DO & G workshop: third trimester scan A$ 110.00Musculoskeletal workshop: ankleMusculoskeletal workshop: shouldeO & G workshop: 3D/4DO & G workshop: third trimester scan A$ 110.00Cardiac workshop: basic heartPaediatric workshop: paediatric A-Z of upper abdomenMusculoskeletal workshop: wristMusculoskeletal workshop: elbow A$ 110.00Musculoskeletal workshop: wristMusculoskeletal workshop: elbowCardiac workshop: basic heartPaediatric workshop: paediatric A-Z of upper abdomen A$ 110.00Musculoskeletal workshop: kneeO & G workshop: the placentaSmall parts workshop: testes with Doppler A$ 110.00Musculoskeletal workshop: kneeO & G workshop: the placentaSmall parts workshop: testes with Doppler A$ 110.00Abdominal workshop: liver segmentsPaediatric workshop: appendixMusculoskeletal workshop: groin/herniaO & G workshop: fetal head A$ 110.00Musculoskeletal workshop: groin/herniaO & G workshop: fetal headAbdominal workshop: liver segmentsPaediatric workshop: appendix A$ 110.00Musculoskeletal workshop: sciatic nerve / hamstringO & G workshop: MCA/ductus DopplerVascular workshop: renal and mesenteric A$ 110.00Musculoskeletal workshop: sciatic nerve / hamstringO & G workshop: MCA/ductus DopplerVascular workshop: renal and mesenteric A$ 110.00Musculoskeletal workshop: post operative shoulderO & G workshop: cord/uterine DopplerVascular workshop: carotid A$ 110.00Vascular workshop: carotidMusculoskeletal workshop: post operative shoulderO & G workshop: cord/uterine Doppler A$ 110.0014:00 – 14:40ororor14:50 – 15:30ororor16:00 – 16:40ororor16:50 – 17:30ororor14:00 – 14:40ororor14:50 – 15:30ororor16:00 – 16:40ororor16:50 – 17:30ororor14:00 – 14:40ororor14:50 – 15:30ororor16:00 – 16:40or16:50 – 17:30orPaediatric workshop: headVascular workshop: renal arteriesMusculoskeletal workshop: polydocinol techniquesMusculoskeletal workshop: hamstring A$ 110.00Musculoskeletal workshop: polydocinol techniquesMusculoskeletal workshop: hamstringPaediatric workshop: headVascular workshop: renal arteries A$ 110.00O & G workshop: 3D ovariesVascular workshop: leg arteries/bypassMusculoskeletal workshop: forefoot pain assessmentMusculoskeletal workshop: shoulderultrasound traps and tricks A$ 110.00O & G workshop: 3D ovariesVascular workshop: leg arteries/bypassMusculoskeletal workshop: forefoot pain assessmentMusculoskeletal workshop: shoulderultrasound traps and tricks A$ 110.00General workshop: neckVascular workshop: aortic endograftMusculoskeletal workshop: adhesive capsulitisO & G workshop: advanced heart A$ 110.00General workshop: neckMusculoskeletal workshop: adhesive capsulitisO & G workshop: advanced heartVascular workshop: aortic endograft A$ 110.00O & G Workshop: 3D fetal heartAbdominal workshop: portal hypertensionMusculoskeletal workshop: fingerVascular workshop: chronic venous insufficiency A$ 110.00O & G Workshop: 3D fetal heartMusculoskeletal workshop: fingerAbdominal workshop: portal hypertensionVascular workshop: chronic venous insufficiency A$ 110.00Musculoskeletal workshop: advanced shoulderO & G workshop: 3D endometriumVascular workshop: deep vein thrombosisScanning the large breast A$ 110.00Musculoskeletal workshop: advanced shoulderO & G workshop: 3D endometriumVascular workshop: deep vein thrombosisScanning the large breast A$ 110.00Musculoskeletal workshop: lower limb nervesVascular workshop: leg arteries A$ 110.00Musculoskeletal workshop: lower limb nervesVascular workshop: leg arteries A$ 110.00Live Scanning Workshop Fees Sub-Total A$WFUMB–Winfocus Workshop – Thursday, 3 September 2009Minimum numbers applySession 1 : 09:00 – 11:00ororSession 2 : 11:45 – 13:45ororDVT & Vascular Access1st Trimester PregnancyCritical Care Echo A$ 275.00PaediatricHigh Resolution - Testis/OcularAdvanced Echo A$ 275.00Session 3 : 14:30 – 16:30ororAdvanced TraumaMusculoskeletal/Nerve BlockAdvanced Abdomen – Biliary, Renal A$ 275.00WFUMB–Winfocus Workshop Fees Sub-Total A$Courses – Thursday, 3 September 2009Nuchal translucency course Translabial ultrasound course Fetal echo course Point of careSocial ProgramOpening Ceremony and Welcome DrinksThe Committee extends a warm invitation to delegates andguests to attend the Welcome Drinks. This function will givedelegates an opportunity to relax with colleagues and meetnew friends. The evening includes light refreshments.Congress DinnerDress: Smart BusinessDate Time Attending Tickets TotalSunday, 30 August 2009 18:30 – 20:30 YesNoWednesday, 2 September 2009 19:30 – 23:00 YesNoIncluded in registration feeAdditional Tickets@ A$ 65.00A$Tickets @ A$ 150.00 A$Social Program Sub-Total A$Please complete your registration fee payment details overleaf… Grand Total Registration Fees Enclosed A$Please check the Congress website for up-to-date informationwww.wfumb2009.com
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World Congress in Medical Ultrasound - Conference On The Net

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