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Online Registration Form - HKNS 6th Hong Kong Neurological Congress cum 32nd Annual Scientific Meeting (9 - 10 November 2019)
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Registration Fee for Main Program (Please tick ONE of the following boxes)
*
Life / Full Member - Waived
Provisional / Associate Member - Physician - HK$500
Provisional / Associate Member - Non Physician - HK$200
Non Member - Physician - HK$1,000
Non Member - Non Physician - HK$400
Only joining the Pre / Post Conference Workshop - Waived
Title
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Dr
Prof
Mr
Ms
First Name
*
Your answer
Last Name
*
Your answer
Organization Affiliation
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Your answer
Email
*
Your answer
Phone
*
Your answer
Main Program Participation (9 - 10 November 2019) (Please tick ONE of the following boxes)
*
NOT joining the main program, only joining Pre / Post Conference Workshops
Day 2 only
Both Day 1 and Day 2
Day 1 only
Special Meal Arrangement on Main Program (if any)
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No Special Meal Request
Vegetarian
Beef-Free
Pork-Free
Gluten-Free
Lunch Symposiums participation (Please tick ONE of the following boxes. Meals will be reserved for those who are joining)
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Both Day 1 and Day 2 Lunch Symposium
Only Day 1 Lunch Symposium
Only Day 2 Lunch Symposium
NOT joining any Lunch Symposium
Post Conference Workshops participation (Please tick the Workshops that you wish to join.) (Pre-Conference Workshop on 8 Nov was already full)
*
Only Post-Conference Seminar : “Unmet Medical Need in Adults with Spinal Muscular Atrophy (SMA)” (11 Nov 2019, 7pm - 9pm, details to be confirmed)
NOT joining any Pre/Post Conference workshop
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