Beethoven Workshop Registration
Name *
Your name here will be your name on the certificate.
Your answer
Gender *
Country of passport *
Your answer
Email *
Your answer
Phone (land phone) *
Your answer
Cellphone *
Your answer
Name of clinic *
Your answer
Invitation Letter *
Please provide info(ID#, date of birth etc.) if required.
Travel with Family?
Roommate:
If yes, please indicate your prefered roommate's name. Otherwise, we will try to match you with a doctor of the same gender. If no, an extra charge of USD60 per night is required.
Airport pick up Service
If Yes, an additional charge is required(taxi: NT1200; Van: NT1800).
Vegetarian *
Other dietary restrictions
Have iPad? *
If Yes, please bring it with you. We will have free materials to give out to participants with iPads.
Speak Mandarin *
Others (Please specify)
Your answer
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