HIV Treatments Update 2017 - Online Registration
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To register for the HIV Treatments Update Seminar 2017 please complete your details below.
(The seminar is free of charge)
Registration is open to:
Health Professionals, Community Support Groups and People Living with HIV

Items marked with a * are required and must be completed before the online form can be submitted.

Contact Information

Title *

Title *

First Name *

First Name *

Surname *

Surname *

Employer / Company / Associated Organisation (if applicable)

Employer / Company / Associated Organisation (if applicable)

E-Mail *

E-Mail *

Postal Address *
(inc postcode)

Postal Address *
(inc postcode)

Phone Numbers: *

Phone Numbers: *
Landline
Mobile

Special Assistance

Assistance *
(for those outside Auckland)

Assistance *
(for those outside Auckland)
Limited support is available for travel and accommodation for those outside Auckland who require assistance to attend the seminar. Assistance will be assessed and provided on a case by case basis.

If you require assistance, please provide details below and we will contact you to discuss this.

Assistance Details

Assistance Details

Parking

Parking
Auckland Hospital is very well served by public transport (both train and bus). If you do need to drive to the seminar, public parking is available at the large public Wilsons Car Park located in front of the hospital (Carpark A). Please note that that there is a small charge for using this car park and this will be at your own cost.

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