IHF Taipei 2017-Attendee Registration

Salutation

First Name (名)

* Spaces or punctuation marks are not allowed in the below Last Name column.
(下方欄位請填入您的姓，如Huang或Chang，不要有任何空格或符號)

Last Name (姓)

Organization

Position

Mobile Number (+Country Code+Mobile Number)

Country

City

Address

Dietary Preference

English Receipt Information

Please provide your receipt title in English.
請以英文輸入您的機構英文名稱 (收據抬頭) 與統一編號，此資訊將呈現於收據上

Receipt Title

VAT Number (Taiwanese only)

* Kindly check more detailed information for Healthcare Visit HERE.
* To avoid double registration, please be noted that the four routes of Healthcare Visit will take place at the same time.
* Once you tick the route, please kindly provide the personal information for insurance application.
* The income of Healthcare Visit will be the donation for IHF Award in 2018
* Kindly find the route details below:

Route A - Taipei Veterans General Hospital	(max. 40 pax; TWD 600/ Ticket)
Route B - Far Eastern Memorial Hospital	(max. 40 pax; TWD 600/ Ticket)
Route C - Linkou Chang Gung Memorial Hospital + Advantech IoT Campus -FULL	(max. 35 pax; TWD 600/ Ticket)
Route D - Mackay Memorial Hospital-Tamshui Branch -CLOSED	(max. 35 pax; TWD 600/ Ticket)

Date: Nov 09, 2017 Time: 1400 - 1700

Route A - Ticket (TWD 600) FULL

Route B - Ticket (TWD 600) FULL

Route C - Ticket (TWD 600) FULL

IHF Taipei 2017-Attendee Registration

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