Event Registration

Beat It - Port Lincoln - Expression of Interest Hosted by Diabetes SA

Type 1 diabetes, Type 2 diabetes

Register interest
Please confirm your interest in this event by completing the form below. Diabetes SA will contact you to discuss eligibility for the event. If you have any questions, please call 1300 198 204, or email info@diabetessa.com.au.

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Attendee details

The NDSS Helpline is available if additional assistance is needed 1800 637 700.

If you don’t have an email or mobile phone you will need to call Diabetes SA on 1300 198 204 to book for this event.

Registrant number *

Date of birth * For example, 12 11 2007

Day

Month

Year

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Confirmation

If you entered your details correctly, a code will be sent to you via email and/or SMS. Please confirm the code below. If you don't receive the code, please call the helpline to complete your registration.

Code

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First name *

Last name *

Email address*

Phone number⁺

⁺ Phone number is not mandatory, however it is useful for receiving important event notifications.

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First name *

Last name *

Email address*

Phone number⁺

⁺ Phone number is not mandatory, however it is useful for receiving important event notifications.

Health professional type *

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My NDSS

NDSS Helpline 1800 637 700

My NDSS

Attendee details

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