Interested to hear about some niche areas within general practice?

RACGP Victoria's New Fellows Committees are pleased to present another 'Find your Niche' - this is an evening to hear from passionate GPs across a number of diverse niche areas of General Practice.

Gain insight into areas of general practice you may or may not have considered and have a chance to chat in a casual setting.

racgp.org.au

Find Your NicheRACGP VICTORIA

DateFriday 14 August 2020

TimeFrom 7:00pm until 9:30pm Networking and refreshments from 6:00pm

VenueCargo Hall, 39 South Wharf Promenade, South Wharf

CostRACGP member $35Non-member/Guest $55

ContactRACGP Victoria EventsTel 03 8699 0591Email vic.events@racgp.org.au

FOR OFFICE USE ONLY RACGP NO (BILL TO)

BATCH NO. ORDER NO. INVOICE NO.

Registration form

6337

Find Your Niche | Friday 14 August RACGP Victoria

Please print letters clearly. Use black or blue pen. Place in all applicable boxes.

Section A: Registration details If you are unable to register online, please complete the form below and return to RACGP Victoria. On receipt, the RACGP Victoria Events team will provide an invoice, payment of this will confirm your attendance.

Title First name Surname

Organisation RACGP no.

Address Postcode

Contact telephone Email

Special requirements (i.e. dietary, physical etc.)

Section B: Event registration All prices quoted include GST unless otherwis stated. ABN 34 000 223 807. Please keep for your records.

RACGP member $35 Non-member/Guest $55

Section C: DeclarationBy signing and returning this registration form to the RACGP, I the delegate make the following declarations:

I have read, understood and accept the RACGP Delegate Conditions and Cancellation Policy which can be found at www.racgp.org.au/usage/delegate-conditions (or provided on request).

I have read, understood and accept the RACGP Privacy Statement which can be found at www.racgp.org.au/usage/delegate-conditions (or provided on request) and consent to my personal information being dealt with to administer this event.

Signature of delegate Date

How to lodge your application Please complete and return this form and an invoice will be issued for payment

Email vic.events@racgp.org.au

Fax 03 8699 0560

Post RACGP Victoria, 100 Wellington Pde, East Melbourne VIC 3002

For more information call 03 8699 0591 or email vic.events@racgp.org.au

You must contact the RACGP Victoria office if you have not received your confirmation email within 5 working days of submitting your registration. The RACGP accepts no responsibility for assumed registrations that have not been confirmed in writing by the RACGP Victoria office.