Mount Isa Centre for Rural and Remote Health &
Graduate Research School, James Cook University
present
ThinkWell workshops – 19
th
July 2016
Registration Form
First name
Surname
Job title
Organisation
Phone
Email
Do you have any
dietary requirements?
Which workshop/s are you registering for? Fee: $250 per workshop
Time management (1 4pm)
Have you registered to attend the MICRRH Are You Remotely
Interested? Conference, 20
th
22
nd
July 2016?
Yes / No
Please note: Preference for subsidised places will be given to attendees who are registered
for the Conference. Non-attendance will incur a fee.
Please email your completed registration form to: sarah.jackson3@jcu.edu.au
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