Australian School of Medical Imaging

ASMI Seminar Registration Form

Seminar Details

Seminar Code

Seminar Name

Seminar Date

Seminar Cost

Personal Details

Surname

First Given Name

Title (Prof/Dr/Mr/Mrs)

Position

Employer

Previous Ultrasound Experience   

Special Dietary
Requirements

Preferred Contact Details

Private Phone

Business Phone

Mobile Phone

Other

Email

Accreditation/Registration with

For example: ASAR, AIR, RANZCR, ASUM

Postal Address

Po Box

OR

Building address/
Street Number

Suburb

State

Postcode

Country

Method of Payment

All fees are due 14 days prior to the seminar start date.
To secure your position in the seminar a 10% deposit is payable on Registration.

Credit Card (This page will be sent to PayPal, incurs a 2% fee)

Invoice to (We will send you invoice by post)

Invoice to

Self at postal
address above

Yes

Name / Title

Department

Company /
Organisation
Address

Privacy Statement

Australian School of Medical Imaging (ASMI) is committed to provide you with a high quality service and part of our service is to protect your privacy. This Privacy Statement will also apply to any information about you that is provided to us by a third party such as an association that you are affiliated with and/or your organisation.

Your personal information
Your personal information held by us may include your name, date of birth, occupation, telephone, fax or mobile phone number; email address, physical and/or postal address, bank account or credit card details, dietary requirement, area of interest, previous ASMI event attendance history and any other information you provide us with. Occasionally, you may need to provide personal information about other individuals to us (e.g. when your organisation is funding the event registration on your behalf). If so, we rely on you to inform those individuals that you are providing their personal information to us.

Security of Information
There will be occasions where it will be necessary for ASMI to disclose your personal information to third parties that provide services to ASMI. ASMI may be required by law to disclose the information, or ASMI may be required to disclose your personal information to third parties to provide the service you have requested. We provide a secure environment and a reliable system but you should be aware that there may be inherent risks associated with the transmission of information via the Internet. For those who do not wish to use the Internet, ASMI provides alternative ways of obtaining and providing information such as over the phone, contact detail forms and face to face.

How we use your personal information
Your personal information may be used to:

  • process your registration for the event;
  • provide the services you require;
  • administer and manage those services, including charging, billing and collecting debts;
  • inform you of ways the services provided to you could be improved;
  • conduct appropriate checks for credit-worthiness and for fraud;
  • research and develop our services;
  • gain an understanding of your information and communication needs in order for us to provide you with a better service.

Also, your personal information is collected so that we can promote and market services to you (including by way of direct mail, telemarketing, email, twitter, facebook and SMS messages). This is to keep you informed of products, services and special offers and may continue after you cease acquiring services from us. If you do not wish us to contact you to promote and market products, services and special offers to you, please call 02 9482 8711.

Help us to ensure we hold accurate information
We take all reasonable precautions to ensure that the personal information we collect, use and disclose is accurate, complete and up-to-date. However, the accuracy of that information depends to a large extent on the information you provide. That's why we recommend that you:

  • let us know if there are any errors in your personal information; and
  • keep us up-to-date with changes to your personal information such as your name or address.

Changes to our Privacy Statement
We may amend this Privacy Statement as our business requirements or the law changes. Any changes to this Privacy Statement will be updated on www.asmi.edu.au so please visit our website periodically to ensure that you have our most current privacy statement.

Who to contact
If you have any question regarding ASMI's privacy issue, please contact:

Mr Glenn Mundey
National Operations Manager
Phone: 61 2 9482 8711
Fax: 61 2 9987 2479
Email: operations@asmi.edu.au

ASMI Head Office
C614 Avanti
1C Burdett St
Hornsby NSW 2077 Australia

Registration Terms and Conditions

By clicking on the submit form you agree to the following terms and conditions:

  1. Registrations for ASMI conferences, seminars and workshops ("event") must be accompanied by a minimum of 10% deposit with balance of payment due no later than 14 working days prior to attendance. Any registrations made within 14 days of the scheduled event start date must be accompanied with full payment.
  2. If full payment has not been received within 14 working days of event commencement date, the registration to attend the scheduled event will be cancelled. Any monies paid at time of cancellation in accordance with this condition, will be dealt with in accordance of condition 7(b)(iii).
  3. Upon receipt of registration and full payment, a letter confirming a guaranteed place to attend the event will be sent to you, along with your receipt and full administrative details. If registration is not accompanied by full payment, a letter confirming a provisional place on the nominated program pending full payment, along with an invoice and full administrative details will be sent to you.
  4. Early registration is advised since event enrollments are limited in size. Registration is confirmed on a "first come, first served" basis of PAID event fees. Please call if late payments or special arrangements need to be made.
  5. ASMI reserve the right to refuse or decline acceptance of a registrant into an event.
  6. All registrations are provided with a Tax Invoice. Copies of Tax Invoices can be made available upon receiving your request in writing.
  7. Refunds will be granted under certain circumstances:-
    1. ASMI reserves the right to cancel the event due to insufficient numbers. Registrants will be notified and registration fees will be refunded in full.
    2. The registrant reserves their right to cancel their registration to attend an event provided such notice is received in writing at ASMI Head Office either by fax, email or post. In this event, the following refund policy shall apply:-
      1. 95% registration refund will be given if the notice is in excess of 30 days prior to the scheduled event start date;
      2. 50% registration refund will be given if the notice is in excess of 14 days prior to the scheduled event start date;
      3. Any notice received less than 14 days prior to the scheduled event start date will result in a loss of any/all monies paid to ASMI unless the attendee transfers to the next available (same) program (NB one transfer limit - which means that inability to attend the transferred program will result in the loss of the full tuition amount)
      4. Once the event has commenced, no refund of fees is possible under any circumstances.
    3. ASMI will not be responsible for any travel and/or accommodation reimbursements.
    4. ASMI reserves the right to determine the means for refund payment, be it by cheque, EFT, PayPal or Credit Card reversal.
    5. Any refunds due will be processed and payable by ASMI within 7 business days.
  8. ASMI reserves the right to alter the content of the event or the presenter(s) without notice however the event(s) are intended to be provided as advertised and promoted.
  9. Transfer of registration to an alternate ASMI event, location or date is permissible provided ASMI is notified in writing within 21 days of the advertised commencement date for the original event registration was made. The registrant will be liable to pay any additional payment (if applicable) within 7 days of transfer application should the event they wish to transfer is more expensive than the original event. Any refund due in this regard will be payable by ASMI within 7 days to the registrant in accordance with 4(d).
  10. All event prices are subject to change from time to time. Event pricing is guaranteed once you have registered. Late payment of any registration fees due will be charged a penalty interest of 12% p.a. calculated daily from date of seminar completion.
  11. ASMI reserve the right to enter into or decline a request for a structured payment plan with a registrant for event fees. Such requests will be assessed on a case by case basis.
  12. Registrants who register and pay in full more than 90 days from date of seminar will be entitled to receive a 10% discount on their next seminar registration.
  13. Event fees for most courses include course workbooks, morning and afternoon teas & light lunches. Fees charged are in Australian Dollars and are subject to GST. Payments by credit card will incur an additional 2% merchant fee. American Express and Diners are not accepted as suitable means of payment.
  14. The material and content of ASMI events (Event Intellectual Property - EIP) are for individual and private use only and protected by Australia copyright laws and cannot be copied, reproduced, adapted, stored in a retrieval system, transmitted or sub-licensed without the prior written permission of ASMI. Any unauthorised use of the ASMI EIP constitutes an offence and attracts civil and criminal penalties. For permission to reproduce or otherwise deal with the EIP, a request in writing is to be made to ASMI.
  15. You also agree to the conditions outlined in ASMI's Privacy Statement:- ASMI protects the privacy and security of information provided by you. By clicking on the submit button above, you agree to the use of your personal information by ASMI to contact you about our products and services, to disclose to third parties providing services to ASMI, and for internal purposes. All transactions processed by ASMI meet industry security standards to ensure your details are protected. For further information on ASMI's Privacy Policy, click here.
I agree with terms and conditions above