REGISTRATION FORM
In view of the escalating unrest, the Organising Committee have decided to
postpone UPRD conference to 8 and 9 February 2020,
our apologies and thank you for your support.

PERSONAL INFORMATION

* Mandatory field
  Please fill out the form in English
First Name : *
Middle Name :
Family Name : *
Gender:     Male     Female

JOB INFORMATION

 
Position : *
Specialty : *
Institution : *
Department :

CONTACT INFORMATION

 
Mailing Address : *
 
Postcode :
State / City : *
Country : *
Tel. No. : *
Ext :
Mobile No. : *
Email : *


REGISTRATION FEE *
2-Day Conference
Early-bird rate (Until 15 January 2020) Normal / Onsite rate
Clinicians     HK$800 Clinicians     HK$1,200
Allied Health / Nurses     HK$400 Allied Health / Nurses     HK$800
Single Day Registration
8th February 2020 (Sat) 9th February 2020 (Sun)
Clinicians     HK$600 Clinicians     HK$600
Allied Health / Nurses     HK$300 Allied Health / Nurses     HK$300
Lunch (8-9 February 2020)
    Yes         No
Vegetarian diet     Yes         No
 
Payment Method : * Cheque (Please register, print out the acknowledgement letter and mail to us together with the cheque)
      Bank :     Cheque No. :
      payable to Ping Healthcare International Co Ltd
      Mailing address: Suite W, 9/F, International Industrial Centre, 2-8 Kwei Tei Street, Fo Tan, Hong Kong
 
PayPal / Credit Card
 
Provided that written notice of withdrawal reaches the Secretariat before 31 December 2019, 50% of the registration fee will be refunded.
 
No refunds will be issued for cancellations after this date or conference nonattendance.