Online Registration

Title : Prof Dr Mr Mrs Ms
Given name :
Family name :
Name on badge/certificate :
IC or Passport No :
Affiliated organisation: :
Mailing Address :
   
Postal Code :
City :
Country :
Telephone  
Mobile :
Fax :
Email :
Dietary requirements (if any) :
 
  SGD (Singapore Dollars) - Please tick & select preferred date
  NYSORA
7 May ‘10 (Fri)
8 May ‘10 (Sat)
9 May ‘10 (Sun)
  Scientific Meeting
600.00
  Scientific Meeting (Trainee/ Student*)
295.00
  Not joining Scientific Meeting
  Workshop 1 **
500.00
500.00
  Workshop 2 **
FULL  
350.00
  Not joining Workshop
 
  TOTAL  
  .00
*Please attach a letter from Head of Department to confirm your trainee/ student status
**The same workshops will be conducted on Friday and Sunday.
     

Payment

  1. Credit card (VISA/MasterCard) payment is available for online registration.
  2. Bankdraft payable to "Ping Healthcare Pte Ltd" and mail to:
NYSORA Asia Meeting Secretariat - Ping Healthcare Pte Ltd
5 Upper Aljunied Link, #05-05, Quartz Industrial Building, Singapore 367903
Tel: +65 6778 5620   Fax:+65 6778 1372   Email: na2010@pinghealthcare.com

 
My total payment of SGD will be made via   Bankdraft   Visa   Mastercard

 

Terms & Conditions

  1. On written request, a refund will be issued, but an administration charge of SGD100 will apply.
  2. No refunds will be made after 15 April 2010.
  3. Registration will be closed on 15 April 2010.