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Online Registration - Lean Thinking & Practice Summit 2017

9 - 12 May 2017 | Sofitel Melbourne on Collins

2017 Australasian Summit

LEAN THINKING & PRACTICE

REGISTRATION FORM

By completing this registration form you have read, understood and agree to all terms and conditions of bookings including cancellation policies, privacy statement and security requirements as stated on the Summit website. The information submitted will be reproduced in the delegate list at the Summit and be used for all mailings. Please ensure the information you complete is correct.


NOTE: All fees include the 10% Goods and Services Tax (GST) and in are in Australian Dollars. Confirmation of your registration will be sent by return email once your online booking is completed.

The Summit Office
PO Box 3245
Mentone East VIC 3194
Email: lisa@lean.org.au

* denotes a mandatory requirement for completion to confirm your registration

A. DELEGATE DETAILS *

DELEGATE
TITLE             *
GIVEN NAME FAMILY NAME
ORGANISATION * POSITION *
STREET ADDRESS * CITY/SUBURB *
STATE   * TELEPHONE
POSTCODE * FAX
MOBILE PHONE * EMAIL *
PREFERRED NAME ON NAME BADGE    *

1. The Redesigning Healthcare Symposium Gold Pass Thursday 7 May & Post Workshop with Katie Anderson includes the Redesigning Healthcare Plenary Day on Thursday 7 May and the Redesigning Healthcare Post Symposium Workshop with Katie Anderson on Friday 8 May

2. The Redesigning Healthcare Symposium & LEA Summit – Wednesday 6 & Thursday 7 May (Only) registration fee includes the Lean Thinking & Practice Plenary day on Wednesday 6 May and the Redesigning Healthcare Plenary Day on Thursday 7 May

3. The Redesigning Healthcare Symposium One Day Registration Thursday 7 May (Only) includes the Redesigning Healthcare Plenary Day on Thursday 7 May

4. The Redesigning Healthcare Student Registration fee is applicable only to full time students. Student ID must be forwarded at the time of registration to be eligible for this reduced fee

  • Please note that all site visits and workshops can also be booked individually if a package is not preferred.

1. The LEA Standard Registration Wednesday 6 & Thursday 7 May (Only) fee includes the Lean Thinking & Practice Plenary day on Wednesday 6 May and the Lean Thinking & Practice Learning Labs on Thursday 7 May.

2. The LEA One Day Registration 6 or 7 May (Only) includes attendance at either the Lean Thinking & Practice Plenary Day on Wednesday 6 May or the Lean Thinking & Practice Learning Labs on Thursday 7 May.

3. The LEA Gold Pass registration fee allows you to attend the Lean Thinking & Practice Plenary day on Wednesday 6 May, the Lean Thinking & Practice Learning Labs on Thursday 7 May, a site visit on Tuesday 5 May plus a post-summit workshop on Friday 8 May

4. The LEA 4+ Group Registration Wednesday 6 & Thursday 7 May (Only) fee is for an organisation registering 4 or more people to attend the Lean Thinking & Practice Plenary day on Wednesday 6 May and the Lean Thinking & Practice Learning Labs on Thursday 7 May at a significantly reduced fee

5. The LEA Student Registration fee is applicable only to full time students. Student ID must be forwarded at the time of registration to be eligible for this reduced fee

  • Please note that all site visits and workshops can also be booked individually if a package is not preferred.

B. REGISTRATION FEES *

Visit the website to view delegate entitlements.
NOTE: All fees include the 10% Goods & Services Tax (GST). All fees are in Australian Dollars.

REGISTRATION CATEGORY PRICE CATEGORY
  EARLY BIRD STANDARD TOTAL
1. LEA Standard Registration – 10 and 11 May $
2. LEA One Day Registration – 10 or 11 May $
3. LEA GOLD PASS 4 DAYS
(Includes Pre Site Visit & Workshop, Summit & Post Workshop)
$
4. 4+ Group Registration $
5. Student Registration $
Returning attendees are eligible for a 10% discount on registration fees. B. SUB-TOTAL REGISTRATION FEES: $
Coupon    Submit
  DISCOUNT AMOUNT:
  REGISTRATION FEES AFTER DISCOUNT:

C. PRE-SUMMIT SITE VISITS & WORKSHOP FEES – TUESDAY 9th MAY, 2017

Please choose one session only, as all site visits and half day workshops will take place concurrently.
NOTE: All fees include the 10% Goods & Services Tax (GST). All fees are in Australian Dollars

Tuesday 9th May 2017 PRICE
  EARLY BIRD STANDARD TOTAL
Site Visit & Half Day Workshop 1
Eastern Health
$
Site Visit & Half Day Workshop 2
Toyota
$
Site Visits - Full Day 3
Eastern Health Morning - Toyota Afternoon
$
Site Visits - Full Day 4
Real Estate.Com Morning - Toyota Afternoon
$
Lean Awareness Full Day Workshop
Facilitator - Alister Lee, Lean Enterprise Australia
$
  C. SUB-TOTAL WORKSHOP & SITE VISIT FEES: $


D. POST SUMMIT WORKSHOP FEES – FRIDAY 12th May, 2017

Please choose one session only, as all workshops will take place concurrently.
NOTE: All fees include the 10% Goods & Services Tax (GST). All fees are in Australian Dollars.


Friday 12th May 2017 PRICE CATEGORIES
  EARLY BIRD STANDARD TOTAL
Full Day Workshop 1
Lean Startup (Incorporates Lean Startup Game)
$
Full Day Workshop 2
Lean Design for Products and Services (Incorporates Set-Based Design Game)
$
Full Day Workshop 3
Innovation Mindset
$
  E. SUB-TOTAL WORKSHOP & SITE VISIT FEES: $

E. SOCIAL PROGRAM

The Welcome Reception is included in the Registration Fee for all Delegates, excluding workshop only Registrations.
Please indicate if you will be attending: Yes No
If you require additional tickets please complete this section:



F. SPECIAL NEEDS/DIETARY REQUIREMENTS

If you have specific dietary requirements please indicate below. We will endeavour to cater to your needs but this may not be possible in all cases.
Please provide details of YOUR special needs/dietary requirements

Please provide details of YOUR GUEST/S special needs/dietary requirements

Please note: If you have selected Kosher or Halal, you will be provided with a vegetarian meal. Should you require alternative meal arrangements please contact the Summit Office.

G. INFORMATION SOURCE

Please indicate where/how you heard about the Summit:
Summit direct mail/brochure Sponsor/exhibitor: Please specify
Summit email blasts Promotion at another Summit: Please specify
Lean Enterprise website Journal/newspaper article/advertisement: Please specify
Australasian Lean Healthcare Website Other: Please specify
Industry colleagues

H. PRIVACY

YES –I consent to my name and address being passed on to another organisation involved in organising a similar event or distributing material related to the subject matter of the Summit.
No, I do not consent

YES – please include my details as given in this form (and any subsequent amendment) in the Delegate List produced for the Summit which may be supplied to organising bodies, sponsors, exhibitors and all delegates attending the Summit.
No, please do not include my details in the Delegate List.

I. PAYMENT AND CONDITIONS

NOTE: All fees include the 10% Goods & Services Tax (GST). All fees are in Australian Dollars.
SECTION B REGISTRATION FEES $
SECTION C PRE-SUMMIT SITE VISITS & WORKSHOP FEES $
SECTION D POST-SUMMIT WORKSHOP FEES $
SECTION E SOCIAL PROGRAM $
Total: $

J. TOTAL FEES

Please charge the total amount above to the following credit card:
Mastercard Visa Card Diners AMEX

Please note all transactions by credit card will appear on your statement as payment to: Lean Enterprise Aust.
Payment Information
Name on card Card Number CVC
Card Expiry      
NOTE: Your registration will not be processed or confirmed if payment is not forwarded with this form.


K. CANCELLATION & REFUND POLICY

Cancellations received in writing at the Summit Office by 24 March, 2017 will be accepted and all fees refunded less a $100 administrative fee. Cancellations received after this date cannot be accepted and cannot be refunded, however transfer of your registration to another person is acceptable. The full name and details of the person that will replace you must be advised in writing to the Summit Office prior to the Summit. No refunds can be made for non-attendance at the Summit.

Registration and Workshop Fee's:
  • Before 24 March 2017 will incur a $100 cancellation fee
  • After 24 March 2017 there will be no refund although transfer of registration is accepted

L. ENQUIRIES

Enquiries regarding registration for the Lean Thinking & Practice 2017 Australasian Summit

SUMMIT OFFICE & REGISTRATION ENQUIRIES

PO Box 3245
Mentone East VIC 3194
Phone: + 61 3 8199 7907
Email: lisa@lean.org.au

TOTAL FEES ENCLOSED: $