This form will capture your registration details and then redirect you to a second page which will prompt for payment details. Please note both registration and payment must be completed in order to secure your place at the conference.
Early Bird - extended until 19/06/2017
Dental Assistants - $225
Group A - $275
Group B - $325
Conference Fee - registrations close 27/07/2017 unless tickets sell out prior
Dental Assistants - $250
Group A - $300
Group B - $375
Group A: Dental Technicians and members of ADOHTA, DHAA, ADPAQ
Group B: Persons otherwise associated with the Oral Health industry
If you are unsure of your registration level or require an invoice, please contact firstname.lastname@example.org.
After completing the following form, please click submit which will transfer you to our online payment facility. Please note, an automated receipt will be sent to your nominated email address and payment will show on your credit card as "DAA QLD Inc.".