Download Registration Form (44kb)

   9th WPCCID Registration & Hotel Reservation Form
First Name : Last Name :
Gender : Male Female    
Mailing Address :
Location :
City : Country :
Zip Code : E-mail :
Telephone : Fax :

   Congress Registration Fee
 
Participant
Student
 
Before August 31, 2004 400 USD
200 USD
   
September 1 - November 15, 2004 450 USD
250 USD
   
November 16 - December 3, 2004 480 USD
280 USD
   
No select.

One day registration 200 USD
200 USD
   
December 1 December 2, December 3, December 4, December 5,  

Accompanying Person   150 USD      

 
Subtotal (1)
 
   PAYMENT
Grand Total of Payment ( USD



 
 
"Pediatric Infectious Disease Society of Thailand
Royal Golden Jubilee Building, Floor9 Soi Soonvijai, New Petchburi Road
Huaykwang, Bangkapi, Bangkok 10320, Thailand Telephone:[662] 716-6534 Fax.:[662] 716-6535"

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