2020 Registration

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2020 Registration

Family (last) name *

First/other name(s*) *

* as stated in passport (or on ID card if no passport)

Title *

Specify *

Organization *

Address in English *

(We will send the JME journal to you for one year at this address, so please make sure it is the best address for receiving your journal.)

City *

State/Province *

Postal/Zip code *

Country *

Phone

Mobile phone

Fax

E-mail *

State/Province; Postal/Zip code; Phone, Mobile and Fax fields are optional; all other fields must be filled in.

Have you submitted an abstract/proposal for your presentation? *

Yes

If it is a joint presentation, please state the name(s) of the other presenter(s)

I am a newcomer and haven't attended any APNME conferences before.

Yes

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