Online Registration Form - HKNS Annual Social Function (ASF) 2019 (Each participant MUST fill in a separate registration)
Thank you for joining the Annual Social Function (ASF) 2019 of the Hong Kong Neurological Society on 6 Sept 2019. Please fill in the following online registration form:
1. Title *
2. First Name *
Your answer
3. Last Name *
Your answer
4. Please confirm your identity: *
5. You are invited to renew the membership for 2019. Please select ONE of the following membership fee arrangements:
6. Organization Affiliation (please fill in if you are a HKNS member)
Your answer
7. For family / friend of the members of HKNS, please state the name of the member who will be joining ASF 2019 with you:
Your answer
8. Please state the words for the custom-made wire word art (in English, max 15 characters, ONE for each participant): *
Your answer
9. Contact Number *
Your answer
10. Email *
Your answer
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