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38 | 2014/15 ADA CPD Program ADAVB CONTACT DETAILS LEVEL 3, 10 YARRA STREET (PO BOX 9015) SOUTH YARRA VIC 3141 TEL 03 8825 4600 FAX 03 8825 4644 EMAIL [email protected] WEB WWW.ADAVB.NET Disclaimer The informaon and opinions presented at the Connuing Professional Development (CPD) programs described in this handbook are those of the presenters. Presentaon at a CPD program of clinical methods, materials, techniques or approaches to business issues that arise in dental pracce do not constute endorsement by the Australian Dental Associaon Victorian Branch (ADAVB). By registering for a CPD program, the delegate takes sole responsibility for the use of any informaon provided in the CPD program. Presenters have been asked to ensure that their presentaons are independent, and with clinical topics scienfically based. Parcipaon in the ADAVB CPD programs does not imply that the ADAVB endorses the content or agrees with the opinions of the presenters. ADAVB reserves the right to alter program details as circumstances require. Acceptance of adversements for this handbook does not imply endorsement by ADAVB. Registraon and Fees Registraon fees are stated within the event informaon. Members: The member rate is for current members of the ADAVB and other Branches of the ADA. Students: The student rate applies to full- me denstry students enrolled at either undergraduate or postgraduate level in 2014. Proof of your student status (e.g. photocopy of student ID) needs to be provided when registering. Rered Members: The rered member rate is only available to densts who no longer pracce and hold a current rered membership with the ADAVB. Staff: The staff rate applies to pracce staff employed by an ADAVB member. The member’s name and ADAVB membership number must be provided on their registraon form. Non-Member: Non-Member densts, including those that are employed by current ADAVB members, are not eligible for staff or member rates under any circumstances. Payment of Course Fees Register with a credit card by faxing the registraon form to (03) 8825 4644; online at www.adavb.net or mail the registraon form with credit card details or cheque made payable to “ADAVB Inc” to ADAVB, PO Box 9015, South Yarra VIC 3141. PHONE REGISTRATIONS AND PAYMENTS WILL NOT BE ACCEPTED. Once full payment of the registraon fees has been received a confirmaon leer/ receipt will be emailed or mailed to you (where no email is provided). Contact the ADAVB if confirmaon of your enrolment is not received within 7 days of your inial applicaon. Registraons must be received three working days prior to the event otherwise an addional fee of $25 will incur. All course fees include 10% GST. All receipts show ADAVB’s ABN 80 263 088 594, ARBN 152 948 680 & Reg’d Associaon No. A0022649E Cancellaons Lectures: Cancellaons received up to 7 working days prior to the event date will be refunded. No refunds will be issued for cancellaons made less than 7 working days prior to the event. Hands on Workshops: Cancellaons received up to 14 working days prior to the event date will be refunded. No refunds will be issued for cancellaons made less than 14 working days prior to the event except under special circumstances. A substute delegate may be nominated and ADAVB must be informed of the substute’s details. All cancellaons must be made in wring to the ADAVB. Refunds will be issued via cheque. Please allow up to 14 working days for refunds to be processed. A $50 administraon fee applies to all cancellaons. Failure to aend A delegate who fails to aend is not eligible for a refund or credit under any circumstances. Program Cancellaon/Rescheduling ADAVB takes all care to produce high quality program events that deliver as promoted. All adversed details are correct at the me of publicaon. However when circumstances beyond our control prevail, ADAVB reserves the right to cancel, postpone, relocate or reschedule any program. If ADAVB exercises this opon, ADAVB will employ reasonable endeavours to nofy delegates as early as possible to minimise inconvenience. ADAVB will not accept any travel and accommodaon costs incurred by delegates. Where a refund is due to a delegate, the appropriate refund will be issued within 30 days of noficaon. In case of program postponement or rescheduling, the delegate may choose to transfer the fee from the cancelled course to a future program of equal value. Venues for 2014 Check individual events for venue informaon. ADAVB reserves the right to change the venue and will nofy all registrants. Parking Facilies Parking facilies vary depending on the venue of the program. Whilst ADAVB tries its best to find venues with adequate parking facilies, available parking cannot be guaranteed. ADAVB encourages all parcipants to arrive early to avoid any potenal parking problems. Most venues are easily accessible via public transport. Catering and Dietary Requirements Catering will be provided for each course. Full day courses (e.g. 9.00am – 5.00pm) will have morning, aſternoon tea and lunch provided. Half –day courses (either morning, aſternoon or evening) will have light refreshments provided, unless otherwise stated. Dietary requirements must be specified on the applicaon form. While ADAVB tries to accommodate specific dietary needs, it cannot guarantee that the requests can be met. Call the ADAVB if in doubt. Course notes ADAVB encourages presenters to provide notes for delegates however this is at the presenter’s discreon. In the interest of environment sustainability ADAVB may replace printed course notes with an electronic copy. Delegates will be nofied how they can receive electronic copies. CPD Hours/Cerficates Acvies are approved for the spulated hours of scienfic/non scienfic CPD hours. A CPD cerficate will be issued at the compleon of the event. Parcipants who cannot aend the enre day/hours will have their hours on the cerficate adjusted accordingly. Privacy Statement ADAVB is bound by the Privacy Amendment (Private Sector) Act 2000. The informaon provided by you will be used to register you for CPD programs only. The ADAVB will not provide your details to any third pares. Important Informaon & Terms and Condions

Information and Terms and Conditions

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Page 1: Information and Terms and Conditions

38 | 2014/15 ADA CPD Program ADAVB.NET | 39

ADAVB CONTACT DETAILS

LEVEL 3, 10 YARRA STREET

(PO BOX 9015)

SOUTH YARRA VIC 3141

TEL 03 8825 4600

FAX 03 8825 4644

EMAIL [email protected]

WEB WWW.ADAVB.NET

Disclaimer

• The information and opinions presented at the Continuing Professional Development (CPD) programs described in this handbook are those of the presenters. Presentation at a CPD program of clinical methods, materials, techniques or approaches to business issues that arise in dental practice do not constitute endorsement by the Australian Dental Association Victorian Branch (ADAVB). By registering for a CPD program, the delegate takes sole responsibility for the use of any information provided in the CPD program. Presenters have been asked to ensure that their presentations are independent, and with clinical topics scientifically based. Participation in the ADAVB CPD programs does not imply that the ADAVB endorses the content or agrees with the opinions of the presenters.

• ADAVB reserves the right to alter program details as circumstances require.

• Acceptance of advertisements for this handbook does not imply endorsement by ADAVB.

Registration and Fees

• Registration fees are stated within the event information.

• Members: The member rate is for current members of the ADAVB and other Branches of the ADA.

• Students: The student rate applies to full-time dentistry students enrolled at either undergraduate or postgraduate level in 2014. Proof of your student status (e.g. photocopy of student ID) needs to be provided when registering.

• Retired Members: The retired member rate is only available to dentists who no longer practice and hold a current retired membership with the ADAVB.

• Staff: The staff rate applies to practice staff employed by an ADAVB member. The member’s name and ADAVB membership number must be provided on their registration form.

• Non-Member: Non-Member dentists, including those that are employed by current ADAVB members, are not eligible for staff or member rates under any circumstances.

Payment of Course Fees

• Register with a credit card by faxing the registration form to (03) 8825 4644; online at www.adavb.net or mail the registration form with credit card details or cheque made payable to “ADAVB Inc” to ADAVB, PO Box 9015, South Yarra VIC 3141. PHONE REGISTRATIONS AND PAYMENTS WILL NOT BE ACCEPTED.

• Once full payment of the registration fees has been received a confirmation letter/ receipt will be emailed or mailed to you (where no email is provided).

• Contact the ADAVB if confirmation of your enrolment is not received within 7 days of your initial application.

• Registrations must be received three working days prior to the event otherwise an additional fee of $25 will incur.

• All course fees include 10% GST.

• All receipts show ADAVB’s ABN 80 263 088 594, ARBN 152 948 680 & Reg’d Association No. A0022649E

Cancellations

• Lectures: Cancellations received up to 7 working days prior to the event date will be refunded. No refunds will be issued for cancellations made less than 7 working days prior to the event.

• Hands on Workshops: Cancellations received up to 14 working days prior to the event date will be refunded. No refunds will be issued for cancellations made less than 14 working days prior to the event except under special circumstances.

• A substitute delegate may be nominated and ADAVB must be informed of the substitute’s details.

• All cancellations must be made in writing to the ADAVB.

• Refunds will be issued via cheque. Please allow up to 14 working days for refunds to be processed.

• A $50 administration fee applies to all cancellations.

Failure to attend

• A delegate who fails to attend is not eligible for a refund or credit under any circumstances.

Program Cancellation/Rescheduling

ADAVB takes all care to produce high quality program events that deliver as promoted. All advertised details are correct at the time of publication. However when circumstances beyond our control prevail, ADAVB reserves the right to cancel, postpone, relocate or reschedule any program. If ADAVB exercises this option, ADAVB will employ reasonable endeavours to notify delegates as early as possible to minimise inconvenience. ADAVB will not accept any travel and accommodation costs incurred by delegates.

Where a refund is due to a delegate, the appropriate refund will be issued within 30 days of notification. In case of program postponement or rescheduling, the delegate may choose to transfer the fee from the cancelled course to a future program of equal value.

Venues for 2014

• Check individual events for venue information.

• ADAVB reserves the right to change the venue and will notify all registrants.

Parking Facilities

• Parking facilities vary depending on the venue of the program. Whilst ADAVB tries its best to find venues with adequate parking facilities, available parking cannot be guaranteed. ADAVB encourages all participants to arrive early to avoid any potential parking problems. Most venues are easily accessible via public transport.

Catering and Dietary Requirements

• Catering will be provided for each course. Full day courses (e.g. 9.00am – 5.00pm) will have morning, afternoon tea and lunch provided. Half –day courses (either morning, afternoon or evening) will have light refreshments provided, unless otherwise stated.

• Dietary requirements must be specified on the application form. While ADAVB tries to accommodate specific dietary needs, it cannot guarantee that the requests can be met. Call the ADAVB if in doubt.

Course notes

• ADAVB encourages presenters to provide notes for delegates however this is at the presenter’s discretion. In the interest of environment sustainability ADAVB may replace printed course notes with an electronic copy. Delegates will be notified how they can receive electronic copies.

CPD Hours/Certificates

• Activities are approved for the stipulated hours of scientific/non scientific CPD hours. A CPD certificate will be issued at the completion of the event. Participants who cannot attend the entire day/hours will have their hours on the certificate adjusted accordingly.

Privacy Statement

• ADAVB is bound by the Privacy Amendment (Private Sector) Act 2000. The information provided by you will be used to register you for CPD programs only. The ADAVB will not provide your details to any third parties.

Important Information & Terms and Conditions

HOW TO ENROL Telephone registrations are not accepted

FAX 03 8825 4644

EMAIL [email protected]

ONLINE www.adavb.net

MAIL

ADAVB PO Box 9015 South Yarra, VIC 3141 For further Information, please call (03) 8825 4600

PLEASE NOTE Your registration for these events indicates acceptance of ADAVB’s Terms and Conditions and Cancellation Policy

Make a copy of this registration form and maintain it for your records.

REGISTRATION FORM / TAX INVOICEABN 80 263 088 594 ARBN 152 948 680 Red’d Assoc No. A0022649EPLEASE USE BLOCK LETTERS WHEN FILLING IN YOUR DETAILS

PRIMARY REGISTRANT o I am a member of my ADA state branch.

o Dentist o Hygienist o Retired/Student Member o Dental Assistant o Other

Dental Assistant Practice Staff (if required please include additional staff members on a separate piece of paper attached to this form)

Special Dietary Requirements(IMPORTANT: YOUR CONFIRMATION AND REMINDER WILL BE SENT TO THIS EMAIL)

Given Name (Dr/Mr/Ms/Mrs)

Mailing Address

Work Phone

Mobile

Family Name

Fax

Email

State: P/Code:

MEMBER NUMBER

Special Dietary Requirements

Given Name (Dr/Mr/Ms/Mrs)

Mobile

Email

Family Name

ACCOMPANYING STAFF DETAILS

Course Name

.

.

.

.

.

Course Fee Accompanying Staff Fee Total Fee

$

$

$

$

$

$

$

$

$

$

TOTAL (inc GST) $

$

$

$

$

$

Course Date

/ /

/ /

/ /

/ /

/ /

PLEASE ENROL ME IN

Signature: Date:

Cheque (made payable to ADAVB Inc)

PAYMENT DETAILS

Card Number

Expiry Date /

Credit Card MasterCard Visa American Express (DINERS CLUB NOT ACCEPTED)

Cardholder Name

This is a TAX INVOICE for GST upon payment. All rates are GST inclusive.

Australian Dental Association Victorian Branch Inc. Level 3, 10 Yarra Street (PO Box 9015), South Yarra Victoria 3141

Tel 03 8825 4600 Fax 03 8825 4644 [email protected] www.adavb.net//