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PRE-REQUISITE THEORY FOR 

PRE-CONFERENCE  PESSARY WORKSHOP


Adv POP / SUI  

Theory 


This enrolment form is specifically for physical therapists who have already had their enrolment confirmed by Pelvicon for the PELVICON Pre-Conference Pessary Workshop on Thursday 7th September.


Please note: for International Physiotherapist needing an alternate Pessary Practical Workshop for the POP/SIU Course please use the standard WHTA Level 3 Advance Pelvic Floor Course enrolment form.


COURSE:             WHTA Advanced Pelvic Floor - POP / SUI 


DATES:                 Mon 7th August, Tuesday 8th August, Sat 12th August, Sun 13th August


TIMES:                  USA (West Coast):  7am - 3.00pm each day

                              USA (East Coast):   10am - 6.00pm each day

                              UK / IRELAND:        3pm - 11.00pm each day


TOTAL HOURS:   30hours


FORMAT:              LIVE ONLINE (no recordings available)


COURSE FEE:     $710AUD   (approx USD$470 at time of website publishing)


Notes on Course Fee

1:  Lifetime WHTA Membership is AUD$90 and reduces course fee to $620 (ie lifetime membership is therefore free if you join)

2:  This course fee does not include the fee for the pessary practical which is paid directly to Pelvicon.

3.  Course fee is charged in AUD.  Current exchange rate to USD will apply at time of payment.


Note: a 500page printed hard copy manual for the course will be sent to each attendee. Please make sure your mailing address is correct.


ENROLMENT FORM

Name (FIRST and LAST NAME)*

Have you enrolled in PELVICON 2023 in Atlanta?*

Select an option

Have you enrolled and been confirmed as having a place in the Pelvicon Pre-Conference Pessary Workshop?*

Select an option

SELECT COURSE FOR ENROLMENT*

Have you completed this specific course before? (ie are you repeating this course as a refresher)*

Select an option

Email Address for Enrolment*

Physiotherapists email for Online Portal Link*

Postal Address: Number and Street (for delivery of Manual)*

Suburb, State & COUNTRY*

Postcode / ZIP code*

Phone Number (mobile)*

Are you a WHTA Member?

Select an option

FOR NON-MEMBERS: Would you like to apply for WHTA lifetime membership (AUD$90 ex GST) to receive the membership rate on your enrolment (AUD$620)?

Select an option

Intellectual Property / Copyright*

Payment Terms*

Payment Type

Select an option
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