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The Mantra on Salt Beach Gunnamatta Ave, Kingscliff NSW ASUM DMU Students: $75 Members: $110 Non-members: $220 Registration closes Wednesday 1st March Click below for discounted Mantra rates REGISTER NOW
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REGISTER NOW - CSANZ · ASUM will refund or provide credit vouchers for registration fees in both of these circumstances. Return this form via email to [email protected] or by faxing

Sep 28, 2020

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Page 1: REGISTER NOW - CSANZ · ASUM will refund or provide credit vouchers for registration fees in both of these circumstances. Return this form via email to events@asum.com.au or by faxing

The Mantra on Salt Beach

Gunnamatta Ave, Kingscliff NSW

ASUM DMU Students: $75 Members: $110

Non-members: $220

Registration closes Wednesday 1st March Click below for discounted Mantra rates

REGISTER NOW

Page 2: REGISTER NOW - CSANZ · ASUM will refund or provide credit vouchers for registration fees in both of these circumstances. Return this form via email to events@asum.com.au or by faxing

2017 Surf Sand & Soundwaves Program

Time

(AEDST)

Room 1:

MSK Focus on Rheumatology

Room 2:

Advanced LV Function Assessment & Cardiomyopathies

Room 3:

Advanced Liver, ARFI & Gallbladder

08.45-08.50 Sue Davies, ASUM Councillor, Welcome & Introduction

08.50-09.10 Toshiba Presentation GE Presentation Siemens Presentation

09.10-10.35 A/Prof Fred Joshua

Rheumatoid Arthritis

Dr Sandhir Prasad

Welcome by Program Chair

Dr Carly Hughes

Advanced LV Assessment: 3D & Contrast

Ada Lo

Applying Strain in Daily Practice

A/Prof Arun Dahiya

Cancer and the Heart: Role of Echo

Dr Sandhir Prasad

Diastolic stress Echocardiography: Practical Tips

Dr George Ostapowicz

Chronic Liver Disease “the Clinicians’ Perspective”

Jane Keating

Ultrasound in Chronic Liver Disease

Targeted Liver Ultrasound for Chronic Liver Disease

10.35-11.00 Tea Break

11.00-12.30 A/Prof Fred Joshua

Live Scanning: Rheumatoid Arthritis

Ada Lo

RV Assessment – State of the Art

A/Prof Arun Dahiya

Sarcoid

Dr Sandhir Prasad

Amyloid

Ada Lo

Arrhythmogenic RV Cardiomyopathy

Jane Keating

Ultrasound in Portal Hypertension

Live Scanning

12.30-13.30 Lunch

13.30-15.00 Dr Anita Lee

Spondyloarthritis (psoriatic arthritis & ankylosing spondylitis)

A/Prof Arun Dahiya

Multimodality Imaging in Cardiomyopathies: Interactive Cases

Dr Sandhir Prasad

Some Rare Cardiomyopathies

Dr Carly Hughes

3D & Contrast: Interactive Cases

Faculty

Interactive Cases from Panel

Craig Williams

Physics: Liver elastography, including ARFI

Jane Keating

Elastography of the Liver, including ARFI

Live Scanning

15.00-15.30 Tea break

15.30-16.50 A/Prof Fred Joshua

Crystal Disease, Gout & Pseudogout

Live Scanning Jane Keating

Ultrasound of Liver Lesions

(incorporating CEUS)

Advanced Biliary Ultrasound (incorporating CEUS of the biliary system)

Live Scanning

16.50-17.00 Wrap-up & Feedback Wrap-up & Feedback Wrap-up & Feedback

17.00 Conclusion

Page 3: REGISTER NOW - CSANZ · ASUM will refund or provide credit vouchers for registration fees in both of these circumstances. Return this form via email to events@asum.com.au or by faxing

Name: Occupation: Title / First name / Surname

Gender: M F D.O.B: / /

Preferred Postal Address: Home Work

Suburb: State: Postcode:

Phone (including area code): Home Work

Mobile:

Email:

Special Dietary Requirements:

Payment: MasterCard Visa Cheque (in AU$ drawn on an Australian Bank)

Credit Card No: Number below must be accurate and include all 16 digits

Expiry Date: / Amount: $ Date: / /

Cardholder’s Name:

Cancellations and Refunds: Any cancellation request from a registrant must be received in writing to ASUM Head Office at least 7 days prior to this event. No refund will apply after this date. ASUM reserves the right to cancel the event within 14 days of the event for extraordinary circumstances out of our control. ASUM is not responsible for travel and accommodation costs incurred in the unlikely situation where we must cancel or reschedule the event. Delegates are responsible for their own travel insurance. ASUM will refund or provide credit vouchers for registration fees in both of these circumstances. Return this form via email to [email protected] or by faxing to +61 2 9438 3686. If you do not receive a confirmation of receipt within 7 business days of submitting your registration form please contact the ASUM office on +61 2 9438 2078

Digital completion preferred (please complete all

fields and ensure all relevant boxes are checked)

REGISTRATION OPTIONS:

Advanced LV & Cardiomyopathies:

MSK Ultrasound & Rheumatology: ARFI & Liver Disease:

For discounted Mantra accommodation rates please use the booking form on page 2

Page 4: REGISTER NOW - CSANZ · ASUM will refund or provide credit vouchers for registration fees in both of these circumstances. Return this form via email to events@asum.com.au or by faxing

Date

First name: Surname:

Address:

Phone: Email:

Fax: Arrival Time:

No. of Adults: No. of Children and Ages:

Special Requests:

Number Of

Rooms

Rate Per

Room

Per Night Per Night

$165.00

$185.00

$205.00

$20.00

$40.00

$10.00

w For cancellations within 30 days of arrival fees will apply

w No show bookings will be charged for the first night

w All room types are subject to availability at the time of enquiry

w All credit card transactions will incur a 2% surcharge

w Check-in from 2pm. Upon check in, you will be required to present a credit card for a pre-authorisation. If you do not have a

credit card, you are required to provide valid photo identification for front desk to copy, prepay your total accommodation and

leave a $100.00 cash deposit which will be refunded less any incidental charges on check-out

w Check-out is by 10am on the day of your departure

w Special requests will be noted on your booking. All requests are subject to availability only and cannot be guaranteed

w Tax Invoices will ONLY be provided upon check out. Receipts for advanced deposits will be issued

w Should you wish to extend your stay post conference, we would be happy to offer you these same rates

q AMEX q MASTERCARD q VISA q DINERS q JCB

Card Number: Expiry Date: /

Name on Card:

Is this credit card to be used for: q Security to hold booking q Pay for Accommodation ONLYq To pay for Accommodation and all incidentals

If using credit card supplied to pay for Accommodation would you like to prepay? q Yes q No

Please supply an email address for your tax invoice to be sent:

PLEASE RETURN THIS FORM TO RESERVATIONS - Email = [email protected] OR Fax = 02 6670 5111

Extra Breakfast

King Twin singles

King Twin singles

Hotel Room Single B&B

Hotel Room Twin B&B

1 Bedroom Single B&B King

Please Note: Hotel Rooms accommodate 1 to 2 guests maximum.

Extra Bed & Breakfast $$ applicable to 3rd person in 1 Bedroom Suite and just Extra Pax in 2 Bedroom Suite using existing bedding.

BOOKING TERMS & CONDITIONS:

CREDIT CARD DETAILS (Please complete this section to provide your own credit card if you intend to hold & pay direct)

Extra Person; Bed & Bfast Sofa Bed & Breakfast

Infant Baby Cot

3-5 March 2017

Australasian Society for Ultrasound in Medicine

#2616266

Room Type Bedding ConfigurationArrival

Date

Departure

Date(Please circle)