![]()
![]()


Registration Form
|
First Name |
Last Name |
|||||
|
Institution or
Organization |
Nationality |
|||||
|
(M) |
(H) |
Telephone (O) |
||||
|
Email |
Fax |
|||||
|
Fees (please check the appropriate box) (You must notify us in advance for the opening celebration
dinner to ensure a place) |
||||||
|
|
free |
Opening celebration
dinner ( |
||||
|
PREREG |
SR 400 |
Symposium
pre-registration* (Before |
||||
|
ONSITEREG |
SR 500 |
Symposium On-Site registration |
||||
|
PRESENT |
SR 250 |
Symposium presenters |
||||
|
Registration fee
includes breakfast, tea break and lunch |
||||||
|
|
|
|
|
|
|
|
All payments must
be made by bank drafts/checks payable to
Please include
name of bank from which the checks was drawn and check number:
Bank
Draft/Check No.
PAYINCLUDED Payment is included with this form.
PAYONSITE Register now pay on site.
*Confirmation number will be emailed to you upon receipt
of bank draft.