2013registration

The 2013 Joint Meeting of AVBS & ANZMS
Novotel Resort, Barossa Valley, South Australia, Australia
Thursday September 5th - Sunday September 8th 2013
Early registration closes 31st July, 2013; Abstracts must be submitted by 31st July, 2013
Title:
Name for
Badge:
Mailing
Address:
City:
Phone:
Family
Name:
Given
Name:
Institution:
State:
Email:
Postcode:
Country:
COST $AUD
Conference Registration
Full member registration (member of either society)
early
Full non-member registration
early
Full member registration, (member of either society)
late
Full non-member registration
late
Student member registration (member of either society) early
Student non-member registration
early
Student member registration, (member of either society) late
Student non-member registration
late
Accompanying adult (includes 3 breakfasts (Fri-Sun),
Welcome Reception, lunches, morning and afternoon teas
and Conference dinner)
$450
$510
$550
$610
$350
$380
$450
$480
$300
Society Membership
Select membership in one or both societies to receive
member discounted conference rates
ANZMS Full 2 year membership
ANZMS Student 2 year membership
AVBS Full 1 year membership
AVBS Student 1 year membership
$40
$20
$35
$10
Saturday afternoon wine tour of the Barossa (optional)
$25
TOTAL
Payment
Conference Registration & Society Membership
METHOD OF PAYMENT
1) Cheque attached, payable to AVBS-ANZMS 2013
2) EFT: account name: Australian Vascular Biology Society, Inc. BSB: 082-330
Account number : 58 0412238
3) Please charge Credit card ☐ Visa
☐ Mastercard
Total amount to charge $___________
Card Number: _____________________________________ Expiry date: __________
Cardholder’s name: _____________________________________________________
Cardholder’s Signature: _________________________________________________
Please email all registration forms together with payment advice to
[email protected]
If paying by cheque, please post cheque to:
Dr Elizabeth Gardiner
AVBS Treasurer
c/o Monash University
Australian Centre for Blood Diseases
Systems Haematology Laboratory
AMREP, Level 6, 89 Commercial Road
Melbourne, Vic, 3004
Accommodation must be booked and paid for separately using the Accommodation
form (below) and sent to [email protected]
Accommodation Booking and Payment
Novotel Barossa Valley Resort, South Australia
September 5-8, 2013
Please select your requested room type. Rooms will be allocated on a first in, first served
basis. Room rates include breakfast. The full amount will be deducted from your
nominated credit card at the time of booking. If the room type you request is not available,
we will contact you for a second preference. A confirmation and receipt of deposit will be
sent to the nominated email or residential address.
Transfers: A bus transfer to and from the Novotel Barossa Valley Resort will be organised
from Adelaide airport and the CBD. Details will be available closer to the meeting.
Room Type
Single studio appt
Two bedroom triple share
Rooms Room Rate for 3 nights
$660 inclusive
$1080 inclusive
Sharing with:
Special dietary requirements:
Bus transfer required (yes/no)
Total
Name _______________________________________________
Email or residential address
____________________________________________________
____________________________________________________
Telephone contact # ___________________________________
Credit Card Details :
Type: ___________________________________
Number: ________________________________
Exp. Date: _______________________________
Number of people: _____________________
Arrival Date: ____________________________
Departure Date: ________________________
Signature : _______________________________
Email booking to [email protected]
Conference rooms are at a Special Discounted Rate for 3 nights accommodation.
To receive these special discounted rates listed bookings must be made prior to July 31,
2013. No refunds will be available after August 23rd.
2013 AVBS & ANZMS Abstract Submission Information
Abstract Deadline: 31st July
Abstracts must be submitted to [email protected] by 31st July to be
included in the meeting proceedings, and published in Microcirculation
Enquiries to:[email protected] include ENQUIRY in SUBJECT HEADING
____________________________________
A SAMPLE ABSTRACT FORM FOR THE AUSTRALIAN AND NEW ZEALAND
MICROCIRCULATION SOCIETY MEETING 2011
Tailoi Chan-Ling1, James A. Brock2 and Michael A. Perry
1Department
of Anatomy, University of Sydney, Sydney 2006, 2Department of Anatomy and
Cell Biology, University of Melbourne, 3010; 3Departments of Physiology and
Pharmacology, University of New South Wales, Sydney, 2052
This is a sample abstract. It must fit on an A4 page with 3.5 cm right, left, top and bottom
margins. Check dimensions of abstract and please do NOT draw a box around the
abstract. Your abstract can have more than one paragraph, figures, tables or graphs, but
ensure they are readable. The required font is single spaced 12 point Times New
Roman. Justify text on both sides. Italics, Bold and Underline are allowed. All authors
should be in bold, with the name of the presenting author underlined.
Abstract should include a brief introduction, clear statement of the objectives,
methodology, detailed results of the study and a brief conclusion.
Abstracts should be sent as an e-mail attachment with the presenting author’s name in the
file title (if more than one abstract is submitted add “name” 1, 2, 3) to
[email protected]
Abstracts will not be considered by the Scientific Committee unless a completed
submission form and a registration form and payment has been received.
Authors will be limited to one oral communication but there is no limit on the number of
poster presentations.
Please indicate on the registration form below whether you wish to present as an oral or
poster. The program committee will attempt to designate as requested, although this may
not always be possible. The first-named author will be advised of the scheduling of their
abstract.
All studies involving human or animal experiments must have approval by their local ethics
committee.
ABSTRACT SUBMISSION FORM
First author name: ________________________________________________
Abstract title
________________________________________________
________________________________________________
________________________________________________
Do you consent to the abstract being published in the journal of Microcirculation?*
*unless otherwise indicated, abstracts will be published.
yes
no
Preferred presentation format: (mark preferred)
Poster
Oral
No preference
Selected abstracts will be chosen for oral presentations. All other submitted abstracts will
be presented as posters. Delegates will be advised of presentation format several weeks
prior to the meeting.
ABSTRACT TOPIC CATEGORY
(mark most appropriate)
Clinical Insights into Vascular Disease
Control of Vascular Tone
Developmental Vascular Biology and Stem Cells
Inflammation and Wound Healing
Lipids and the Vasculature
Oxidative Stress, Vascular disease and Ageing
Pathology of the Microvasculature
Platelets and Thrombosis
Vascular Growth and Remodelling
AWARD CATEGORY
(mark where appropriate and see society websites for application details)
AVBS current PhD Student
AVBS Early Career Researcher (< 3 years postdoc)
ANZMS Student
ANZMS Early Career Researcher (≤ 10 years postdoc )
If you wish to apply for an award, your supervisor/laboratory head is
requested to confirm your eligibility in a brief email to the AVBS 2013
Organising Committee at [email protected]