International Symposium

The 2nd International Symposium on Alcoholic Liver and Pancreatic Diseases and Cirrhosis

Registration Form

October 18 and 19, 2007
Kobe, Japan

I would like to attend the 2nd International Symposium for Alcoholic Liver and Pancreatic Diseases and Cirrhosis:

Last name:
First name:
Affiliation:
Address:
Email address:
Phone number:
Fax number:

I plan to attend Japan DDW (JDDW) or Asian Pacific DDW (APDW):
  1. Your registration fee for this symposium is free of charge as long as you have JDDW or APDW registration and badge;
  2. Please complete and submit the form below to reserve your seat for the symposium by June 1, 2007;

If you are non-Japanese and do not plan to attend APDW:

  1. Please complete and submit the pre-registration form below for the symposium by June 1, 2007.

Refund Policy:
Please read carefully the refund policy noted below.

From: April 1, 2007 - August 1, 2007 - 100%
From: August 2, 2007 - September 1, 2007 - 70%
From: September 2, 2007 - October 2, 2007 - 50%
After: October 2, 2007 - Non Refundable
All refunds will be returned promptly minus applicable transaction fees.

 

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