CANCER IMAGING 2007 Registration

I. Personal Details
Note: Fields marked with asterisk (*) are mandatory.

*Title:  Prof. / Dr. / Mr. / Mrs. / Ms.   

*Status:
ICIS Member
HKCR Fellow
HKCR Member
HKCR Associate Member
HKCR Trainee Member 
Non-member

*Last Name:

*First Name:

Position:
Department:
*Organization / Institute:
*Mailing Address:


*Telephone: -
Facsimile: -
*Email:

II. Please select your preferred workshop for each AM and PM session:

SATURDAY 10TH FEBRUARY 2007

AM

CT of anterior mediastinal masses

US of neck masses that may simulate metastases

PM

Musculoskeletal Tumours - Imaging aspects

Imaging neck lymphadenopathy

SUNDAY 11TH FEBRUARY 2007

AM

Benign liver masses: Detection and characterization with CT and MRI

Interventional Oncology: A new horizon

PM

Thyroid cancer: Imaging issues

MR imaging of Paediatric Oncology

III. Registration Fees

Registration fees for delegates include a copy of programme book, coffee breaks and lunch during the meeting period. Conference kits are for full registrants only. All bank charges must be pre-paid.

Please indicate any special dietary requirements: 

REGISTRATION FEES FOR LOCAL/OVERSEAS DELEGATES:

Member of ICIS or HKCR

Allied Health Professionals

Other Physicians

 Full Registration (2 Days)

HKD 1,000
USD 140

HKD 800
USD 110

HKD 1,200
USD 160

 Day Registration
10 Feb 2007 (Sat) 11 Feb 2007 (Sun)

HKD 500
USD 70

HKD 400
USD 60

HKD 600
USD 85

Congress Dinner (10 Feb 07)
HKD 300 USD 40
(The registration fees in USD as quoted above include bank charges for USD bank drafts.)

IV. Method of Payment:

Please select one of the following payment options:

Cheque in Hong Kong Dollars (HKD) made payable to "HONG KONG COLLEGE OF RADIOLOGISTS" enclosed. For overseas delegates, personal cheques are not accepted.

Bank Draft in US Dollars (USD) made payable to "HONG KONG COLLEGE OF RADIOLOGISTS" enclosed.

For payment by cheque or bank draft, please submit your payment with registration confirmation email by mail to:

College Secretariat
Hong Kong College of Radiologists
Room 909, 9/F., Hong Kong Academy of Medicine
Jockey Club Building
99 Wong Chuk Hang Road
Aberdeen, Hong Kong SAR, China
(Ref: Cancer Imaging 2007)

Payment by Credit Card in Hong Kong Dollars (HKD) for overseas delegates onlyThe following credit cards are accepted: VISA, MASTERCARD or JCB CARD.

For payment by credit card, please complete the form of credit card details [Click Here] and submit with your registration confirmation email by fax (852) 2554 0739 or mail to Hong Kong College of Radiologists.

V. Personal Data (Privacy) Ordinance

Your name and institute will be included in the list of participants, which may be distributed to delegates, speakers, sponsoring companies and other parties involved in this event. Please tick box if you do not agree.

I would not like my name to be included in the list of participants.

VI. Cancellation Policy

In the event of cancellation, a refund of the total registration fee paid (minus a 25% administration fee) will be made, on provision of a written notice received by the Secretariat on or before 31st December 2006. After this date, no refund can be made for cancellation. Please note that all refunds will be issued only after the meeting. In case of cancellation due to bad weather or other uncontrollable factors, no refund will be entertained.