RMA26 | Waitlist

Title

First Name

Last Name

Email Address

Verify Email Address

Mobile phone

Country

State

I would like to join the RMA26 waitlist:

To purchase a Full Conference registration

To purchase a Wednesday, 21 Oct Day Pass

To purchase a Thursday, 22 Oct Day Pass

To purchase a Friday, 23 Oct Day Pass

To purchase a Saturday, 24 Oct Day Pass

Data Processing Consent

I give consent

Please note that if you do not give consent for your details to be used as stipulated above, we will not be able to contact you about this conference. As a result, you will not be able to complete this form. Further information is available about Australian College of Rural and Remote Medicine’s Privacy policy.

You need to enable JavaScript to access this site.

Follow these instructions on how to enable JavaScript.

Internet Explorer

Select Tools from the top menu
Choose Internet Options
Click on the Security tab
Click on Custom Level
Scroll down until you see the section labelled Scripting
Under Active Scripting, select Enable and click OK

Google Chrome

Select the menu icon on the browser toolbar
Select Settings
Click the Show advanced settings... link then Content Settings in the Privacy section
Select Allow all sites to run JavaScript (recommended) and click Done

Safari (Mac)

Select Safari from the top menu
Choose Preferences
Choose Security
Select the checkbox next to Enable JavaScript