Nov 21, 2013 - ... return by email to:
or fax +852 2966 .... Cancellations before 31 Oc
Equine Medicine Course 19-21 November 2013 Delegate Registration Form Venue: Conference Room, 6th Floor Sha Tin Central Complex, Sha Tin Racecourse, Sha Tin, New Territories, Hong Kong. For registration please complete this form and return by email to:
[email protected] or fax +852 2966 6622 Title: ……………….First Name: …………………………………………………… Last Name: ……………………………………………………………………………. Preferred Name for Badge: ……………………………………………………….. Company/Practice: ……………………………………………………………… Address:…………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………… Country: …………………………………………………………………………………… Contact Telephone: ………………………………………………………………. Fax: ……………………………………………………………………………………….... Email address: ………………………………………………………….…..……… BEVA Membership Number: …………………………………………………….. Special dietary requirements/vegetarian: ……………………………………………………………………………………………………………............................. Tick Box if you do not wish your name and email to appear in the list of course delegates with the course notes. Tick if your partner is to attend the social program.
Fee
Paid
$7200/ $5800 (BEVA Member)
$_____________________
Harbour Cruise with Dinner (Tuesday Evening)
$700
$_____________________
Happy Valley Races (Wednesday Evening)
$600
$_____________________
Total
$____________________
November Medicine Course (19th-21st)
* All fees shown are in Hong Kong Dollars
** Partners are welcome for Social Events, please include when calculating fee.
THE COURSE HAS LIMITED PLACES SO BOOK EARLY TO RESERVE YOUR PLACE Payment Details: Applications forms will only be accepted with valid payment. I wish to pay by credit card (Mastercard/Visa/American Express): …………………………………………………………………….. Card Number: …………………………………………………………………......... Amount: $ ………………………………………………………… Name on Card: ……………………………………………………………………… Expiry date: …………………………………………………….. Cardholder’s Address if different from above: ……………………………………………………………………………….............................. …………………………………………………………………………………………………………………………………………………………………………. Cardholder Signature: ………………………………………………………………… If you would prefer to pay by bank transfer please contact us directly at the above email and we will provide you with the required information.
Terms and Conditions: 1.
2. 3. 4.
Registration fee covers: - Access to Scientific Program - Course materials - Certificate of attendance - Coffee and Lunches A list of accommodation can be found on the website/events page or alternatively there are many other options for accommodation in Hong Kong. Copyright: The intellectual property rights in all materials produced belong solely to the individual presenting and are reserved and any unauthorized duplication, publication or distribution are prohibited. Cancellations before 31 October 2013 will receive a full refund (excluding $500 handling fee). These must be received in writing. Cancellations after this date will be charged for the full course.
