Overseas Delegate Ticket – AIMA National Conference 2025

Demographic Information

Name(Required)

Title First Last

Email(Required)

Mobile Phone(Required)

Gender(Required)

Male

Female

Address(Required)

Street Address Suburb State/Territory Post Code Country

Ticket Type

Hidden

Todays Date

MM slash DD slash YYYY

International Delegate Ticket(Required)

Price:

This form is only for International Delegates.
If you're in Australia, please complete the appropriate form here: Australian Delegate Form.

Professional Information

Healthcare sector(Required)

Medical Practitioner Speciality(Required)

Nursing Speciality(Required)

Allied Health Speciality(Required)

Dentist/Other Speciality(Required)

Other Speciality(Required)

College Name

If you are a member of a college, please enter the name of the college below.

College Membership Number

Please enter your membership number below.

Events Information

Do you have any Dietary Requirements? (Optional)

All meals are Halal

How did you hear about this conference?(Required)

Email from AIMA

Social Media

Website

Google

Friend/Family

Other

Gala Dinner - Saturday 19 April 2025

The Gala Dinner is a separate event on Saturday 19 April 2025 at 7:00 PM.

Would you like to attend the Gala Dinner?(Required)

The Gala Dinner is an additional cost of $100 for conference delegates. It is not included in the conference ticket.

Yes Gala Dinner (Additional Cost of $100 per ticket)

Will you be bringing an additional guest to the Gala Dinner?(Required)

Additional Cost of $150 per ticket, Guests must be 13 years or older.

Add Gala Dinner Guest ticket (Additional Cost of $150)

No Gala Dinner Guest

Gala Dinner Guests Tickets(Required)

Please enter a number greater than or equal to 1.

Guest Name(Required)

First Name

Last Name

Any Dietary Requirements?

Sub Total

Summary & Payment

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Photography and Videography Notice(Required)

By attending this event, I acknowledge that photos and videos may be taken in this public space and shared across AIMA’s platforms, including social media and publications.

I have read and understood this statement.

Cancellation Policy(Required)

Cancellations will be accepted until Wednesday 19 March 2025, with a $55 administration fee (including GST) deducted from all refunds. No refunds will be issued after this date.

I have read and understood the cancellation policy.

Marketing Consent

I consent to AIMA and its representatives contacting me via email and phone for marketing purposes, including information about this conference, future events, and other updates.

I consent

Consent to Share Information with Sponsors

Your name, email, and phone number will be shared with our sponsors.

I consent to my information being shared with sponsors.

(Uncheck this box if you do NOT consent.)

Sub Total

Payment Processing Fee

Price: $ 25.00

Total

Price in AUD

Ticket ID

Credit Card

Overseas Delegate Conference Tickets Form

All amounts are in Australian Dollars.

For any inquiries or assistance, please feel free to call or WhatsApp AIMA at 0468 691 676, or email us at admin@aima.org.au

International Delegate AIMA 2025 Conference Registration Form