2018 - SP Conference Management...training is based on the work of Professors Vaclav Vojta, Vladimir...

2018 ANNUAL SCIENTIFIC MEETINGNew Zealand and Australian Associations of Musculoskeletal Medicine

Addressing Musculoskeletal Issues in the YoungAll health professionals welcome

4-7 October, Heritage Hotel, Auckland.

Register Online at http://www.spconferences.co.nz/nzamm-2018.html

2018ANNUAL

SCIENTIFIC MEETINGNew Zealand and Australian Associations

of Musculoskeletal Medicine

4-7 October 2018Heritage Hotel, Auckland

Register on line at www.spconferences.co.nz/nzamm-2018.html

For enquiries contact: [email protected]

Australian Association of Musculoskeletal Medicine

The Australasian Faculty of Musculoskeletal Medicine

The New Zealand Association of Musculoskeletal Medicine

Registration





On behalf of the New Zealand Association of Musculoskeletal Medicine, it is my pleasure to invite and welcome you to the 2018 Scientific Meeting titled: “The Young and the Reckless-Musculoskeletal Issues in the Young” held in conjunction with the Australasian Faculty of Musculoskeletal Medicine and the Australian Association of Musculoskeletal Medicine.

Our 2016 conference in Christchurch dealt with “Busted Boomers, Musculoskeletal Issues in the Muscle in the Older Adult” and this year in Auckland, we are sure you will enjoy a focus on the other end of the life course with this year’s theme.

We have gathered speakers from across the spectrum from sports physicians to exercise and developmental scientists and clinicians dealing with all areas of youth health, disability and pain. There will be something for everyone who deals with the young whether it be often or occasionally. There will be emerging scientific information as well as practical sessions.

We have been extremely fortunate in attracting keynote speakers Carolyn Broderick, staff specialist at The Children’s Hospital in Westmead, Sydney and Patria Hume AUT professor of Human Performance along with many of our own musculoskeletal, surgical, paediatric and pain colleagues. Sir Peter Gluckman, paediatric researcher and chief science advisor to the Prime Minister has also agreed to contribute to our thinking about developmental issues.

For you, the delegate, we hope that you will leave this conference well informed and have an enjoyable social and networking experience with colleagues from all disciplines. You are most welcome to join us for the pre-conference social outing on October 3rd. The AFMM retreat on 4th October is open to all conference attendees. Numbers are limited for both these days though, so ensure you register early for these events.

Dr Jenny KeightleyNZAMM Past President, Treasurer & Conference Convenor

Conference Objectives:

• To be stimulated, challenged and learn evidence based and clinical skills to use with your younger patients.• Understand how developmental issues can affect later musculoskeletal function and how to intervene early.• Get insight on how to manage paediatric pain from Ross Drake and the Pain Team at Starship Hospital.• Take part in practical workshops of your choice

Conference Committee:

Convenor - Dr Jenny Keightley, Dr Gary Collinson and Dr Stu Thomson

Who would benefit from this meeting?

This meeting will appeal to a wide variety of medical and allied health practitioners, including musculoskeletal physicians, general practitioners, pain physicians, ACC branch medical advisors, occupational physicians, rehabilitation physicians, sports physicians, rheumatologists, orthopaedic surgeons and allied health professionals such as physiotherapists, clinical nurse specialists, podiatrists, occupational therapists and manual therapists. The Meeting will also be of interest to researchers and those in bioscience.

CONVENOR’S WELCOME

NZAMM acknowledge the generosity of the Rose Hellaby Medical Scholarship Trust and the conference organisers thank the Board of Governors for their support with this Scientific Meeting.

SPONSORS

S R GRADIOLOGY

Combined meeting Hosted by:New Zealand Association Musculoskeletal Medicine

Australasian Faculty Musculoskeletal Medicine

Australian Association Musculoskeletal Medicine

Our programmes are endorsed by the International Association for the Study of Pain

ACC provides New Zealanders with comprehensive, no-fault personal injury cover. We work closely with businesses and the community, to try to prevent injuries from happening and to make New Zealand a safer place. But when injuries do happen, we’re here to help.

We manage injury claims, coordinate services and work closely with health professionals to help get people back to living their life as quickly as possible.

For more information about ACC, please visit www.acc.co.nz.





Patria Hume BSc MSc (Hons) PhD

As AUT Professor of Human Performance, Patria is a leading expert on sports injury prevention, sports performance and biomechanics. She is a Fellow of the International Society of Biomechanics in Sports and gained the prestigious ISBS Geoffrey Dyson Award for her world contributions as a sports biomechanist in 2016. Patria is an editorial board member for journals Sports Medicine and Sports Medicine Open, and reviews for numerous journals including Sports Biomechanics, British Journal of Sports Medicine, British Medical Journal, Physical Therapy in Sport, and American Journal of Sports Medicine. During an ACC funded post-doctoral fellowship (1994-1996), Patria developed the 10-point plan for injury prevention (now known as SportSmart) which has subsequently been adapted for many sports nationally and internationally. Patria has been the lead researcher on projects for World Rugby on player health and protective equipment, for ACC on sport injury prevention, and for international and national sports organisations on sport performance and injury reduction including the Sydney 2000 anthropometry rowing and kayaking project. Prior to her career as an academic Patria was a world-class rhythmic gymnast and coach. She represented New Zealand for six years and then coached gymnasts who competed at Olympics and won medals at the 1990 Commonwealth Games.

Steve Bentley, Musculoskeletal Physician Te Anau, FiordlandMBChB. Dip Obst. Dip MSM. Dip SportMedicine (London). FAFMM

Steve graduated from Otago University Medical School in 1974 and undertook post graduate training in the UK, including Sports Medicine. He was heavily involved with Otago Rugby, Highlanders and Otago NPC team as doctor for 5 years and was involved with many elite NZ National athletes. He became a Fellow of the Australasian Faculty of Musculoskeletal Medicine (FAFMM) in 2000 and has been a Vocational Registered Specialist Musculoskeletal Medicine since then, working full time providing

Sir Peter GluckmanKNZM FRSNZ FMedSci FRS

Sir Peter Gluckman is a Professor at Auckland University Medical School, a paediatric endocrinology researcher and until 30th June 2018, Chief Science Advisor to the Prime Minister of New Zealand. Sir Peter’s medical career has been largely in research and leadership. He spent 4 years as an Assistant Professor at the University of California in San Francisco and from 1991 Sir Peter was appointed Dean of the Faculty of Medicine and Health Sciences at the University of Auckland while continuing to lead an active research group of more than 60 people focused on developmental endocrinology and neuroscience. His special research interests are in the developmental origins of health and disease, epigenetics, the public understanding of science, evolutionary medicine and in the interface between human and pastoral animal biology.

Carolyn Broderick MBBS FACSP PhD

Dr Carolyn Broderick is an Associate Professor in The School of Medical Sciences and a staff specialist in sport and exercise medicine at The Children’s Hospital at Westmead, Sydney. She is Chief Medical Officer of Tennis Australia & the Australian Open Tennis and has been the Australian Olympic team physician at 4 summer Olympic Games including Deputy Medical Director at the Rio 2016 Olympics. Carolyn is a member of the Medical Advisory Panel of the National Rugby League (NRL).

Carolyn’s research expertise is in the area of exercise prescription and assessment of physical activity in special paediatric populations. This has included increasing the physical activity and quality of life for children with a diverse range of serious diseases including haemophilia, cancer, diabetes, juvenile idiopathic arthritis and metabolic myopathies. Her other key research focus is in the area of musculoskeletal disease in children and adolescents.

KEYNOTE SPEAKERSKEYNOTE SPEAKERS

...Continued over page





Lucy HoltzhausenPG Dip MSM ( Otago) M Pain ( Newcastle) FAFMM

Lucy graduated from the University of Witwatersrand Medical School in 1987 and completed a two year postgraduate Honours degree in Sports Medicine at the University of Cape Town in 1992. She undertook research into the management of collapsed ultra-endurance athletes and the provision of best-care emergency medical practice at ultra-endurance athletic events whilst lecturing in the Departments of Anatomy and Physiology, Cape Town University between 1990 and 1999. Lucy immigrated to New Zealand in 2000 with her husband and two children. She completed with distinction her qualifications in Musculoskeletal Medicine and Pain and then completed her Fellowship training and has practiced as a Musculoskeletal and Sports Medicine Specialist in Auckland over the past 10 years. She was race medical director for the NZ Ironman triathlon event from 2003 to 2013. She also lecturers part-time in the Department of Musculoskeletal Medicine, Otago University. She has an interest in managing patients with general joint hypermobility (Ehlers-Danlos Syndrome type III).

Quentin ReevesDiagnostic RadiologistMBChB 1984 Auckland, FRANZCR 1991

Quentin is a Musculoskeletal Radiologist at both SRG and Auckland City Hospital. After completing the Radiology programme at Auckland, Quentin received his subspecialty training in MRI and musculoskeletal radiology at UCLA. He subsequently worked in Sydney in private practice and at Prince of Wales Hospital. He has a particular interest in MRI, musculoskeletal ultrasound and spinal procedures. Quentin is well respected within the medical community, with career highlights including working as a Radiologist at the 2000 Sydney Olympic Games.

KEYNOTE SPEAKERSspecialist musculoskeletal services to patients of all ages in the lower South Island, including full clinical and radiological assessment, a wide range of treatments, manual therapy and comprehensive rehabilitation.

Since 2004 Steve has studied and completed post graduate rehabilitation courses to advanced level under Prof Pavel Kolar, Rehabilitation Unit, Charles University Prague, Czech Republic. This training is based on the work of Professors Vaclav Vojta, Vladimir Janda, Karel Lewit and Pavel Kolar since the 1950s. It includes a focus on genetically programmed motor patterns (Developmental Kinesiology), identification of abnormal motor patterns, restoring dynamic neuromuscular stability (DNS) and correcting motor patterns using Reflex Locomotor Stimulation.

Steve has competed in various sports including; tennis (represented Wellington, Poverty Bay and Otago), badminton and mountain running.

Ross DrakeBSC, MBChB, FRACP, FChPM, FFPMANZCA

Ross is a Paediatrician and Paediatric Palliative Care and Pain Medicine Specialist at Starship Child Health in Auckland. He leads both the Paediatric Palliative Care and Complex Pain Services at Starship as well as being the Clinical Lead of the Paediatric Palliative Care National Clinical Network.

In his Fellowship training Ross spent time with the Symptom Control Team at Great Ormond Street Hospital in London and the Pain and Palliative Care Service at the Children’s Hospital at Westmead in Sydney where part of his fellowship was devoted to the psychological management of chronic pain in children.

Ross is always working toward improving the recognition of the needs for children requiring palliative care and children in chronic pain. He hopes increased recognition will see a boost in resourcing to enable equitable service delivery around New Zealand and see funding rise from its current appalling level.

KEYNOTE SPEAKERS





Wednesday 3 October

1000 to 1600 Optional Pre-conference tour to Waiheke Island Refer social programme for details

Thursday 4 October

0830 Tea and Coffee and registration for Faculty retreat

0900 to 1700 AFMM/ NZAMM Faculty Retreat - Imaging and management of spinal pain Open to all delegates - maximum 50

1300 to 1700 Exhibition Set up

1600 to 1900 Registration

1900 to 2000 Welcome Drinks

Friday 5 October

0800 to 0900 Registration

0815 to 1045 Plenary 1 - Preparing for a good life 1

0815 to 0830 Welcome - NZAMM, AAMM, AFMM

0830 to 0915 Early life influences on musculoskeletal development - Sir Peter Gluckman

0915 to 1000 Exercise testing in children - Carolyn Broderick

1000 to 1045 Sports related concussion research and practice update - Patria Hume

1045 to 1115 Morning tea and Exhibition

1115 to 1245 Plenary 2 - Preparing for a good life 2

1115 to 1200 The genetically programmed human locomotor system - Steve Bentley

1200 to 1245 The hypermobility spectrum disorders (a.k.a. The Ehlers-Danlos Syndromes) - Lucy Holtzhausen

PROGRAMME

1245 to 1330 Lunch and Exhibition

1330 to 1500 Concurrent Sessions - Workshops

1330 to 1500 1A Assessment and rehabilitation - developmental kinesiology and dynamic neuromuscular stabilisation (Limit 30) - Steve Bentley

1330 to 1500 1B Ultrasound at point of care - a taste and practice (Limit 16) - Stu Thomson

1330 to 1500 1C Paediatric sport and exercise medicine - Carolyn Broderick

1330 to 1500 1D Sports related Concussion - Patria Hume

1500 to 1530 Afternoon Tea and Exhibition

1530 to 1700 Plenary 3 - Ensuring a good life - timely intervention

1530 to 1610 Developmental dysplasia of the hip: preventing and managing disability - Sue Stott

1610 to 1650 Imaging modalities in developmental radiology - Quentin Reeves

1650 to 1730 Paediatric scoliosis - indications for surgery - Paediatric spinal surgeon

1930 AGM NZAMM, AGM AAMM if required Social Options - TBC





1530 to 1700 Plenary 6 - Paediatric Rheumatology

1530 to 1610 Juvenile arthritis: when to refer - Rheumatologist

1610 to 1650 Ankylosing spondylitis: an update - Doug White

1650 to 1730 Pharmacology: use of NSAID’s in the young - Olly Zekry

1900 till late Social Evening - Conference dinner in the grand tearoom (last chance to experience the heritage)

Sunday 7th October0900 to 1030 Plenary 7 - Paediatric Pain

0900 to 0930 The assessment and management of CRPS and other chronic pain issues in adolescents - Ross Drake

0930 to 1000 TBC - TBC

1000 to 1030 TBC - TBC



1100 to 1230 3A Repeat - Assessment and rehabilitation - developmental kinesiology and dynamic neuromuscular stabilisation (Limit 30) - Steve Bentley

1100 to 1230 3B Practical prolotherapy options 2 - more complex prolotherapy for spine and pelvis ( Limit 30) - Margaret Taylor

1100 to 1230 3C Repeat - General joint hypermobility and the Ehlers-Danlos syndromes - all you ever wanted to know. - Lucy Holtzhausen and Gary Collinson and

1100 to 1230 3D Making the interdisciplinary team work for childhood pain - Ross Drake and Team

1230 to 1300 Plenary Conference Closing

1300 to 1400 Conference Close Lunch and Exhibition

This programme may be subject to change.

Please refer to the Disclaimer under Registration Information.

Saturday 6th October0830 to 1045 Plenary 4 - Sport Exercise and Injury

0830 to 0920 Common sporting injuries in adolescence and young adult - an orthopaedic perspective - Stu Walsh

0920 to 1010 Exercise and sport in pre-adolescence. The benefits and pitfalls - A sports and exercise perspective - Carolyn Broderick

1010 to 1045 The science of kinanthropometry - contribution to youth sport performance and injury prevention - Patria Hume


1115 to 1300 Plenary 5 - Paediatric Musculoskeletal

1115 to 1155 A musculoskeletal approach to common paediatric problems - Steve Bentley

1155 to 1235 Optimising Bone Health - Susannah O’Sullivan

1235 to 1245 Panel

1245 to 1330 Lunch and Exhibition


1330 to 1500 2A The clumsy child – diagnosing and treating development co-ordination disorder - Rachel Greaney

1330 to 1500 2B General joint hypermobility and the Ehlers- Danlos syndromes - all you ever wanted to know. Repeated Sunday 7th - Lucy Holtzhausen and Gary Collinson

1330 to 1500 2C Practical prolotherapy options 1. Useful office procedures (Limit 30) - Margaret Taylor

1330 to 1500 2D Radiology- reading images - Quentin Reeves SRG

1500 to 1530 Afternoon Tea and Exhibition

PROGRAMME





WEDNESDAY 03 OCTOBER 2018 OPTIONAL PRE CONFERENCE TOUR - Waiheke Island 10am to 4pm

$150.00 per person

1000 Ex Auckland – Waiheke Fullers ferry1040 Arrive at Matiatia, transfer to charter coach, depart for Mudbrick1100 Arrive at Mudbrick for tour & tasting1145 Depart Mudbrick for Rangihoua Olive Estate1215 Arrive at Rangihoua Estate for tour & tastings1300 Depart Rangihoua Olive Estate for Batch Winery via Onetangi scenic1330 Arrive at Batch Winery for tour & tasting and light quiche & salad lunch1430 Depart Batch Winery for Stonyridge1445 Arrive at Stonyridge for tour & tastings1530 Depart Stonyridge for Matiatia ferry terminal1600 Ex Waiheke – Auckland Fullers ferry

WELCOME COCKTAIL PARTY Thursday 4th October, 7.00pmWelcome function will be held at Heritage Auckland.

CONFERENCE DINNER Friday 5th October, 7.00pmConference Dinner will be held at the Tearooms, Heritage Auckland.

Please indicate your attendance by ticking the appropriate boxes on the registration form.

SOCIAL PROGRAMME

REGISTRATION INFORMATION

ReGiSTRATioN DeSK HoURS: Thursday 4th october ~ 5.00pm – 7.00pmFriday 5th october ~ 8.00am – 5.00pmSaturday 6th october ~ 8.00am – 5.00pmSunday 7th october ~ 8.00am – 1.00pm

Full delegates are required to register on Thursday 4th October during the welcome cocktail function or Friday 5th October from 8am. Day registrations are required to register on the morning of the first day of their attendance. Upon registration delegates will be issued with their registration pack including delegate satchel, program handbook, and name badge.

HoW To ReGiSTeR FoR THe CoNFeReNCeVisit the registration page and follow the prompts to complete the registration details as requested. We suggest that you print a copy of your registration prior to submission. Please note it is essential for all delegates to send a completed registration form together with payment of registration fees. All prices include GST.

Please note: Payment by credit card will show as SP Conference Management on your statement. Please refer to the included registration form for a full breakdown on fees. Full Registrations include entry to all sessions, satchel and contents, morning and afternoon teas, lunches, Welcome Function and Conference Dinner. Weekend and Day Registration, as above, for the day of attendance, does not include the Welcome Function or the Conference Dinner.

Registration and Payment (all fees in NZ $)Payment of fees in full MUST accompany all registration forms. No registration will be confirmed until payment is received. Payment can be made by credit card or direct credit. Each delegate must make a separate application. Confirmation will not be processed until payment is received. A GST invoice will ONLY be produced once the registration form and payment, or a Purchase Order has been received. Alternatively, retain a copy of the registration form, once submitted with payment, which will act as a valid Tax Invoice for GST purposes.

Confirmation & ReceiptThe secretariat will email a confirmation letter acknowledgingyour registration, accommodation booking and payment. If you do not receive an emailed acknowledgement within one week of sending the form, contact the Secretariat. Please check your confirmation letter carefully and notify the Secretariat immediately of any changes required.

Cancellation of RegistrationCancellations received in writing prior to Thursday 6th September 2018 will receive a refund of fees, less an administrative fee of $110. No refund will be issued after this date. Substitute delegates are welcome, please advise the name of the new delegate so name badges can be amended. Any changes to or cancellation of registrations must be in writing and emailed to the Secretariat.

There are plenty of activities to do in Auckland, just visit https://www.aucklandnz.com for information.

AUCKLAND ACTIVITIES





TransfersTaxi’s Shuttles & Buses can be pre-booked on line at https://www.aucklandairport.co.nz/transport.

Conference inclusionsFull registration is inclusive of morning and afternoon teas, lunches, and all evening functions, satchel & handbook. Day registration includes morning and afternoon teas, lunches, satchel and handbook on the day of registration.

Dietary and Mobility needsShould you require any special assistance, catering or transport arrangements to be made on your behalf, please include a notation on your registration form.

Name Badges & TicketsName badges and delegate bags will be provided at registration. Admission to all sessions, morning and afternoon teas, lunches and evening functions is by name badge only. You will be provided with a ticket for the conference dinner to hand in on entry.

ParkingHeritage Hotel Valet Parking is $45 per day, spaces are limited and subject to availability.

PrivacyPlease complete the section of the registration form relating to privacy if you do not wish your personal information to be included in the published Participant List, which will be circulated to all delegates and exhibitors at the meeting.

DisclaimerEvery effort has been made to present as accurately as possible, all the information contained in this brochure. NZ Association of Musculoskeletal Medicine, SP Conference Management, its Agents or Servants or the Sponsors will not be held responsible for any changes in the structure or content of the program and any general or specific information published in this brochure. The Organising Committee reserves the right to change any or all of these details.

GENERAL INFORMATION

Reservations have been made at Heritage Hotel Auckland and accommodation bookings for the following rates can only be booked through SP Conference Management. To secure your booking you are required to pay your accommodation in full at the time of registration. Accommodation cannot be guaranteed after 31st August 2018. Rates quoted are per night per room. They include GST and do not include Breakfast. Those preferring other accommodation choices please visit www.wotif.com to make your own choice and booking.

CancellationsNo accommodation deposits will be refunded after 30th September 2018. Rooms cancelled after this date will be charged a cancellation fee equal to one night’s accommodation by the hotel.

early and Late ArrivalCheck in is from 1400 hrs. Whilst the hotel will do everything possible to accommodate early arrivals, if you wish to be guaranteed immediate access to your room, you will need to pay an extra day’s tariff for the night before. Please indicate your expected time of arrival as failure to do so might mean your room could be released.

ACCOMMODATION





Title [Prof/Dr/Mr/Mrs/Ms/Miss] First Name........................................................................................Family Name...................................................................................

Institution/Organisation........................................................................................................................................................................................................................................

Position Held..............................................................................................................................................................................................................................................................

Contact Address........................................................................................................................................................................................................................................................

City...................................................................................................................................................................Postcode............................................................................................

Mobile..........................................................Phone........................................................Email Address .............................................................................................................

Please note any special requirements regarding health, diet, mobility etc........................................................................................................................................

........................................................................................................................................................................................................................................................................................

I do not wish my personal details to be included in the Participant List.

SeCTioN A - ReGiSTRATioN FeeS (inc of 15% GST) Earlybird on or before 01/09/2018 Full fee after 01/09/2018

AFMM/NZAMM Thursday 4th retreat $250.00 $300.00(all delegates welcome)

Assoc Members - NZAMM, AAMM, AFMM Full Registration (Inclusive of all social functions) $980.00 $1080.00One Day only registration (NO social functions included) $600.00 $650.00(Please circle day of attendance) Fri Sat Half Day Sunday registration (NO social functions included) $400.00 $450.00

Non Member DoctorsFull Registration (Inclusive of all social functions) $1080.00 $1180.00One Day only registration (NO social functions included) $700.00 $750.00(Please circle day of attendance) Fri Sat Half Day Sunday registration (NO social functions included) $450.00 $500.00

Allied Health Professionals and Registrar DoctorsFull Registration (Inclusive of all social functions) $900.00 $1000.00One Day only registration (NO social functions included) $600.00 $650.00(Please circle day of attendance) Fri Sat Half Day Sunday registration (NO social functions included) $400.00 $450.00

Concurrent Session Workshop Choices - You may select 1 choice for each session

(Please circle the number relating to the workshop you wish to attend in the programme. Friday Session 1 Workshops 1330 – 1500 1a 1b 1c 1d Saturday Session 2 Workshops 1400 – 1530 2a 2b 2c 2d Sunday Session 3 Workshops 1100 – 1230 3a 3b 3c 3d

SeCTioN B - SoCiAL PRoGRAMCatering cannot be guaranteed unless you complete this section.

Pre Conference Tour (NOT included in registration fees) - Wednesday 3rd October

I require.................................tickets at NZ$150.00 each $.....................................Name of Partner (if applicable)......................................................................

Welcome Reception (included in full registration) - Thursday 4th October, Heritage Hotel Auckland (included in full registration)

Yes I will be attending No I will not be attending

I require.................................tickets at NZ$35.00 each $.....................................Name of Partner (if applicable)......................................................................

Conference Dinner (included in full registration) - Friday 5th October, Heritage Hotel Auckland.

Yes I will be attending No I will not be attending

I require.................................tickets at NZ$90.00 each $.....................................Name of Partner (if applicable).....................................................................

Section B Total $...........................................................





SeCTioN C - ACCoMMoDATioNPlease include payment for all accommodation nights when registering and this will be forwarded to Heritage Auckland on your behalf. Delegates are to finalise their own incidental accounts on departure. For other accommodation choices please visit www.wotif.com to make your own booking.

Heritage Hotel Auckland

Superior Rooms $209 Deluxe Suite $239 Exec 1 Bedroom Suite $269

Nights Required

Wednesday 3rd Thursday 4th Friday 5th Saturday 6th Sunday 7th

Type of Room Required

Single Double Twin Other...........................................................

Number of people requiring accommodation (If children require ages)............................................................................................................................................

I wish to share with..................................................................................................................................................................................................................................................

Special requirements..............................................................................................................................................................................................................................................

SeCTioN D - PoSTeRSAbstracts in poster form will be accepted and displayed during conference.

Yes, I would like to submit an abstract poster

Title of Abstract.........................................................................................................................................................................................................................................................

ReMiTTANCe GST 029-308-085

Section A - Registration $................................................

Section B - Social Programme $................................................

Section C - Accommodation (paid in full) $................................................

Total $................................................

• Credit Card - please indicate

Visa Mastercard

Credit Card Number.....................................................................................................................................Card Verification Num...............................................................

Expiry Date...........................................................................................................................Amount to Charge $.............................................................................................

Cardholders Name................................................................................................... Cardholders Signature...................................................................................................

• Direct Credit

SP Conference Management will email an invoice on receipt of your registration. The invoice will contain bank account details for direct

credit payments

Important Notes: • This form will be a tax invoice for GST purposes when you make a payment. • Please retain the original copy for your records. • Payment online with your credit card will appear on your statement as a transaction with SP Conference Management

Please return this registration form to:-SP Conference ManagementPO Box 4400, Palmerston North 4442, New Zealand

Email: [email protected]

Tel: +64 6 3571466

2018 - SP Conference Management...training is based on the work of Professors Vaclav Vojta, Vladimir...

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