HPN Awareness Week 2024 - Tour of Baxter (Registration Form)

First name

Last name

Phone Number

Hospital/Institution

Role/Title

Names of Additional attendees

Please ensure that you provide the names of all those who wish to attend with registrant if applicable.

Which tour are you interested in?


	Wednesday 16th October Melbourne (Brunswick): 10:00am start
	Thursday 17th October Sydney (Toongabbie): 11:00am start
	Friday 18th October Perth (Canning Vale): 11.00am start
	Friday 18th October Brisbane (Coorparoo): 11:00am start
	Friday 18th October Auckland (Mt Wellington): 11.00am start
	Friday 18th October Christchurch (Wigram): 9.30am start

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