Registration for workshop/dinner

❖ Personal Details

Name in English

Title * :

First name * :

Last name * :

❖ Contact Details

Country:

Mobile phone no.:

E-mail * :

❖ Registration Type

Type	Unit Price (USD)	Qty.	Price(USD)
Regiser for workshop/dinner only Please choose items below	0.00		0.00
Congress Dinner	75.00		0.00
Dinner On Cruise	40.00		0.00

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.

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

❖ Receipt Details

same as contact address

Name:

Address:

Tax ID:

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(*).