Eye Institute Education Series 2017

Online Registration

To register for the Eye Updates Mini-Conference on Sunday 28 May 2017, brought to you by Glaucoma NZ and Eye Institute, please fill in the online registration form below. *Mandatory fields.

GP Name *
    Practice Name *
MCNZ No.
 
 
Address     Phone *
      Email *
      Fax
 
Glaucoma NZ is a not-for-profit organisation working alongside Eye Institute to provide education for GPs in New Zealand. We therefore encourage all attendees to consider making a donation to Glaucoma NZ, who depend on support from the community to help reduce blindness from glaucoma. Donation options:
  $10 Donation
$20 Donation
Donation amount of your choice
(Next page has a link to make your donation direct to Glaucoma NZ)

To contact us phone 09 522 2125 or email