4th Annual General Meeting / Annual Scientific Meeting 2016

INDIVIDUAL REGISTRATION

A. PERSONAL DETAILS

Title *

Full Name as per IC / Passport *

Institution / Hospital *

Correspondence Address *

Postcode *

Country *

Mobile Phone *

Email *

Letter For Visa Application *

Dietary Requirement *

Profession *

Conference Dinner *

B. REGISTRATION FEES

Category	MAS Member (Orthopaedic Surgeon / Sports Physician)	Non - MAS Member (Orthopaedic Surgeon / Sports Physician / Physiotherapist / Radiologist / Nurse)	Overseas
Early Bird (15th August 2016)	RM900	RM1,100	USD350
Post Early Bird (30th September 2016)	RM1,100	RM1,300	USD400
Onsite (1st October onwards)	RM1,300	RM1,500	USD450
Ultrasound Workshop (Limited places)	RM500		USD200
TOTAL REGISTRATION FEE

Note: All delegates must register for full conference to be entitled to register for the ultrasound workshop

C. PAYMENT

Please select payment mode

Attach Payment Proof

Acceptable file formats : PDF, JPG and PNG
[ File size should not exceed 20MB ]

Attach Membership Proof

Acceptable file formats : PDF, JPG and PNG
[ File size should not exceed 20MB ]

All registered conference attendees will be emailed confirmations. Print your confirmation letter and bring it with you on the day of the conference for a smooth registration process.

All payments are to be issued in favour of "MALAYSIAN ARTHROSCOPY SOCIETY"

Bank

CIMB Berhad

Account No

8000913139

Bank Address

Lucky Garden, Bangsar, Kuala Lumpur

Swift Code

CIBBMYKL

CANCELLATION AND REFUND POLICY
The secretariat must be notified in writing of all cancellations. Refund will be made only after the conference and only applicable under following circumstances:
Cancellation on or before 15th August 2016 : 95% refund
Cancellation after 1st September 2016 : No refund.

If no refund is required but a change in participant registration is needed, then the Secretariat must be informed in writing via email to registration@my-arthroscopy.com

CONFERENCE SECRETARIAT
MALAYSIAN ARTHROSCOPY SOCIETY
c/o BLOOM COMMUNICATIONS
P1-2-1, Andalucia, Pantai Hill Park,
Jalan Pantai Permai, Bangsar South,
59200 Kuala Lumpur, Malaysia.

Tel: +603 2242 0902 /+6016 203 6018
Email: secretariat@my-arthroscopy.com
Website : www.my-arthroscopy.com
Fax: +603 6207 6795