AGM 2018 Registration Form
Date: 5 May 2018
Venue: World Trade Centre, 38th Floor, 280 Gloucester Road, Causeway Bay, Hong Kong
Time: 4:30 pm - 10:00 pm
1. Name (Surname first)
2. Hospital / Institution
3. Department / Unit
6. Registration for
Individual (if individual, please skip question 7 and go to question 8 directly)
Group (if group, you will be the group coordinator and please go to question 7)
7. Group Registration (Please type the participants' name, hospital and email to be seated under your table clearly)
8. Please indicate your participation
Seminar only (free of charge)
Seminar & AGM
10. Contact Phone No.
Remark: Your registration is considered to be valid to AGM until you had deposit of HK$150 registration fee per member into HKICNA Hang Seng Bank Account: 291-224251-001 and email the deposit slip to:
** Remember to put 1. your name, 2. hospital and 3. phone on the deposit slip.**
This Email is sent from HKICNA to the intended recipients whose data are recorded in the HKICNA database for future correspondence.
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