Register by completing this form:

Your Name (required)

Your Email (required)

Your Rotary or Rotaract Club (required)

Your Rotary District (required); please enter as a 4-digit number

Have you attend a RAM Conference before?
Yes I have attended beforeNo, this is my first RAM Conference

Why are you interested in attending?

Do you have a role in RAM? e.g. District Chair, Regional Coordinator

Would you be interested in taking a RAM role?
InterestedNot InterestedMaybe - ask me again at the end of the Conference!

What registration type do you require? Details as above (if you are a Rotaractor, please indicate in the comments)
Full Conference (incl. dinner): $110Saturday Only: $55Sunday Only: $55Conference Dinner Only: $55Rotaractors discounted price $20 for SaturdayRotaractors discounted price $20 for SundayRotaractors discounted price $50 Conference Dinner

NUMBER of additional dinner guests (if applicable):

NAMES of additional dinner guests (if applicable); please separate each name with a comma:

Please calculate the total amount you will pay (your registration fee $110/$55 and any extra dinner guests at $55 per guest):

Are you interested in a one hour hands on malaria lab experience?

YesNo

If yes please select your preferred time(s) on Saturday 25th Aug

9:00am10:30am
9th August UPDATE: the 10:30am malaria lab is now full! Places are filling fast for the 9:00am lab experience

If flying, at which airport will you arrive?

Brisbane (BNE)Gold Coast (OOL)Not yet confirmed