Registration - 2024 Chang Gung Aesthetics Conference
Title
Prof.
Dr.
Mr.
Ms.
Others
Full Name (First Name + Last Name)
Prefered Name on Badge
中文姓名
Specialty
Plastic Surgeons
Others
Gender
男
女
Institution
Address
Country
Tel
Cell Phone
請輸入10位數字，例：0912345678
E-mail
E-mail 格式不正確
Note
Accompanying Person
Plastic Surgeon
NT$12,000 (before Sept.15th)
Chang Gung Alumni
NT$10,000 (before Sept. 15th)
Resident
NT$8,000
Other Physician
NT$15,000 (before Sept. 15th)
Accompanying Person
NT$3,000 (Baquet only)
Banquet (2024/10/26) at 3F, Fullon Hotel Taoyuan Airport MRT A8
Yes!
No, thanks!
Submit