Registration Information

❖ Personal Details

Name in English

Title * :

First name * :

Middle name:

Last name * :

Department:

Institution:

❖ Contact Details

Address:

City/District:

State/Province:

Postal code:

Country * :

Telephone No.:

Fax No.:

Mobile phone no.:

E-mail * :

❖ Food details

Food details:

❖ Registration Type

Type	Fee Onsite rate (USD)
Main Congress
Delegates	1,200.00
Vascular fellowship in training *	500.00
Regiser for workshop/dinner only Reference main-congress registration no.	0.00
Workshop
Special Venous Session & Workshop	50.00
Venous Bypass Hands-on Workshop Full	0.00
Carotid Endarterectomy Hands-on Workshop Full	0.00
Vascular Access Workshop	0.00
Dinner
Congress Dinner	75.00
Dinner On Cruise	40.00

Total 0.00 USD

Note: The registration type "Vascular fellowship in training" requires verification of attached evidence from the organizer. The organizer will send you an email notifying you of the payment after it is verified. If you are not in condition for the "Vascular fellowship in training" type, you will be required to pay an additional registration fee.

Remark: * Verification document from the organization requested.

Attach document : (*.jpg, *jpeg, *.png , *.pdf)

❖ Receipt Details

same as contact address

Name * :

Address * :

Registration Includes:

Access to all scientific program of main congress and exhibition
Conference kits
Lunch & coffee break

Payment Option:

Online payment with credit card

Cancellation Policy:

Once registered, it CANNOT be canceled.

Please fill the required fields(*).