Please complete the fields below and click on Process Registration at the bottom of this page to submit.

This meeting is by invitation only.

If you have any queries please email Paul Stevens or call 03 9859 7337. footer-olanow In accordance with the Code of Conduct for prescription medicines industry in Australia, only invitees may attend this event. Any costs (e.g. travel or meals) incurred by a partner/spouse, guest or family member travelling with a healthcare professional attending this event cannot be paid for or subsidised by Teva Pharma Australia. Attendees are responsible for obtaining approval to receive and/or disclose hospitality as required by their employer or professional association.

PRIVACY NOTICE: The information requested on this form will be used by Teva Pharma Australia Pty Ltd (ABN 41 169 715 664) and its related bodies corporate (“Teva”) in connection with this educational event. If this information is not provided it may not be possible to confirm your attendance at this educational event for which we requested the information. We may disclose personal information to third parties including related companies, regulatory authorities and contractors engaged to provide services to Teva. Some of these entities may be located outside of Australia. The countries in which recipients may be located include (but are not limited to) Singapore, Israel, the United States of America and countries within the European Union. To the extent that you may be entitled to do so under the Privacy Act and any other applicable laws, you may request access to, or correction of, your personal information held by Teva by contacting, or by writing to Teva Pharma Australia Pty Ltd, Locked Bag 2053, North Ryde, NSW 1670. Further information regarding Teva’s handling of personal information, including how you can seek access to or correction of personal information held about you by Teva and how you can make a complaint about our handling of personal information, is set out in our Privacy Policy.

TEVA Pharma Australia Pty Ltd, ABN 41 169 715 664, Level 1, 37 Epping Road, Macquarie Park, Sydney, NSW 2113 Phone: 1800 AU TEVA (1800 28 8381) Fax: +61 2 8061 9999 Date of preparation: September 2016 AZI-AU-00052