ICSM 2023 Registration Registration Deadline - 24 Oct 2023, 23:59 Please enable JavaScript in your browser to complete this form.Title *ProfDrMrMsMissName *e.g. CHAN Tai ManDepartment *e.g. Department of MedicineInstitution / Hospital *e.g. University of Hong KongPostal address *Postal address to receive official receipt for registration.Email *EmailConfirm EmailWill you submit an abstract ? *Yes, I willYes, already submitted and I am the presenting authorNo, I will not* Registration fee will be waived for abstract presenter Registration Fee for Abstract Presenter *Complimentary - Abstract presenting authorPlease check this boxPhone *Registration Fee *$300 - Non-ICSM memberComplimentary - Members of ICSMComplimentary - Member of IVM, CUHKComplimentary - Member of HKCCComplimentary - Staff / Student of Department of Pharmacology & Pharmacy, HKUComplimentary - Undergraduate StudentComplimentary - Staff of HKU-SZHComplimentary - Staff of HKU/QMH Department of MedicineDeclaration *I declare that I am a member of ICSMI declare that I am a member of IVM, CUHKI declare that I am a member of HKCCI declare that I am a staff / student of Department of Pharmacology & Pharmacy, HKUI declare that I am an undergraduate studentI declare that I am a staff of HKU-Shenzhen HopsitalI declare that I am a Staff of HKU/QMH Department of MedicinePayment methodsby Hong Kong Fast Payment System (FPS) bank transfer to Talent Consultants (FPS ID 105366041)HSBC PayMe mobile apps. Please indicate your registration number in the "Description" when making the payment.by cheque payable to "Talent Consultants" and send to 22/F, 3 Lockhart Road, Wanchai, Hong KongRegistration fee is inclusive of lunch box, please indicate below whether you would take lunch *YesNoPlease pick the Bento Box you like from below. *Pan-fried Chicken SteakDeep-fried Fish Fellet and Potato WedgesGalicky Greek SpaghettiI require an invitation letter for visa purpose. *YesNo* Registration fee is non-refundable. Submit
