Pan Pacific Gathering for HIV+ People 2008 - University of Otago, Queen Street, Auckland, New Zealand

Scholarship Application is now open

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Confidentiality issue: If you are not using your own computer please read this paragraph. This page will send an email to us. If you are not using your own computer then a copy of the sent email will end up on the sent file on the computer you are using. For your own privacy access your own hotmail/gmail/etc account that you normally use when away from your own computer and create a new email on that. Copy and Paste the To field, Subject and Contents of the email displayed into your own email system and send from there. Then just cancel the email that is automatically displayed by this page.

Title (e.g. Mr, Mrs, Dr)

First Name:

Surame:

I confirm I am HIV+

Company / Organisation

Position:

Postal Address:
Street # and Name

Suburb / Town

State

Country

Postcode

Telephone

Fax

List any funding assistance that you will receive to attend the conference

If you are attending as an employee - please write your employer's name and contact details here

Check which costs you are applying for.

International Airfare

Hotel Accomodation

Airport transfer and taxes

Conference Registration Fees

Daily Allowance

Opening Ceremony and Receptions

Advertising
How did you hear about the conference? Please select all relevant categories.

Colleague

Your Own Organisation

Through Google Search

Through Body Positive NZ

Through AIDS Foundation/Organisation

News Media

Other:

If you have any special dietary requirements please specify.

If you have any special needs (e.g. wheelchair access) please specify.

Please enter any special accommodation requirements you may have

If you would like to share with someone, please enter their name and advise us whether you require double or twin occupancy:

Have You Submitted an Abstract ?

When you press the Submit button an email form is created which you then need to send to the secretariat. If you do not send the email then the secratariat does not receive your registration.