Please fill in the following details: Personal Particulars of Author (please print in English) * Mandatory field Title:* select title here Prof. Dr. Mr. Mrs. Miss First Name:* Surname:* Position:* Institution:* Full Postal Address:* Country:* E-mail:* Telephone: Fax: Registration Fee Registration (after 14/1/2011) HKSC* Member HK$3,000 Non-HKSC* Member HK$5,000 (US$625) Nurses/Allied Health HK$2,500 (US$315) * HKSC Hong Kong Society for Coloproctology Payment by credit card VISA Master Card credit card no.: cardholder's name: exp. date: CANCELLATION AND REFUND POLICY All cancellations must be made in writing to the Organizing Committee before 8 December 2010 to receive a 50% refund of fees paid. No refunds can be made thereafter. All refunds will be made after the Symposium.
Personal Particulars of Author (please print in English) * Mandatory field Title:* select title here Prof. Dr. Mr. Mrs. Miss First Name:* Surname:* Position:* Institution:* Full Postal Address:* Country:* E-mail:* Telephone: Fax:
Registration Fee Registration (after 14/1/2011) HKSC* Member HK$3,000 Non-HKSC* Member HK$5,000 (US$625) Nurses/Allied Health HK$2,500 (US$315) * HKSC Hong Kong Society for Coloproctology Payment by credit card VISA Master Card credit card no.: cardholder's name: exp. date: CANCELLATION AND REFUND POLICY All cancellations must be made in writing to the Organizing Committee before 8 December 2010 to receive a 50% refund of fees paid. No refunds can be made thereafter. All refunds will be made after the Symposium.
Master Card
CANCELLATION AND REFUND POLICY All cancellations must be made in writing to the Organizing Committee before 8 December 2010 to receive a 50% refund of fees paid. No refunds can be made thereafter. All refunds will be made after the Symposium.