The Hong Kong Practitioner VOLUME 28 / March 2006
The HKCFP The Annual Scientific Meeting
"MANY FACES OF A FAMILY DOCTOR"
 
REGISTRATION FORM
HKCFP Annual Scientific Meeting
 

Organiser:

   Co-organisers
The Hong Kong College of Family Physicians  

The Hong Kong College of Paediatricians
The Hong Kong College of Physicians
The Hong Kong Primary Care Foundation

 
 

Name : Prof / Dr / Mr / Mrs / Ms

Email :
Institution :
Address :
 
Telephone/ Mobile :   Fax :
 
 

Registration & Fee (please tick as appropriate):

    Trainee of the
organiser /
co-organisers		   Member of the
organiser /
co-organisers 		  Non-member
HKCFP Annual Scientific Meeting
  

  Free
 

  HK$300
 

  HK$600

  A Cheque of HK$300 / 600 is enclosed for ASM registration
Based Medicine (EBM) Workshop
  

  HK$200
 

  HK$200
 

  HK$400
Musculoskeletal (MSK) Workshop
  

  HK$200
 

  HK$200
 

  HK$400

  A Cheque of HK$ 200 / 400 is enclosed for EBM / MSK workshop registration
             

*Please prepare separate cheque for registration of ASM and the chosen workshop

Please note that you may only choose to register ONE of the workshops.

Registration of workshop is subjected to availability. Cheques will be returned to unsuccessful registrants.

 
Payment Method
Please send a completed registration form with crossed cheque(s) payable to "HKCFP Education Ltd" to this address Room 701, 7/F., HKAMJC Building, 99 Wong Chuk Hang Road, Hong Kong.
 
 
 

Signature:

  Date: