Registration

Registration Fee : On Site(Nov 27~28th 2010) 250 USD
A4M Member : On Site(Nov 27~28th 2010) 200 USD

Personal Details

Full Name (to be printed on Certificate)

A4M Membership No

Field of Expertise

Organization

Address Zip Code -

City Country

Phone

H.P

E-mail

Fax

Details

Registration Fee : Early Bird(Until Sep 1st) 150 USD
Registration Fee : General(From Oct 1st to Nov 19th) 200 USD
Registration Fee : On Site(Nov 27~28th) 250 USD
A4M Member : Early Bird & General(Until Nov 19th) 150 USD
A4M Member : On Site(Nov 27~28th) 200 USD

Instruction Course : New injection method (HA Filler) 500 USD

- Coffee Break, Lunch Coupon, Exhibition Admission is included.
- Program & Schedule could be changed depends on the situation.

Payment Info

Wire Transfer Info

(*Please add US$50 to your registration fee. Otherwise, the registration will not be validated.)
ACCOUNT HOLDER : KEYMED Co., Ltd.
NAME OF THE BANK : Hana Bank
BANK ADDRESS : Air Terminal Branch, Samsung-dong 158-9, Gangnam-gu, Seoul, South Korea
ACCOUNT NUMBER : 588-910011-44404
SWIFT Code : HNBNKRSE

Credit Card Info

Card company JCB VISA MASTER
Card number
Expiry date month/ year
Card holder's name 3 digit code / V-code

Cancellation Policy

• Before Aug 31th 2010 : Refund 100%
• Between Sep 1st and Sep 30th -10%
• Between Oct 1st and Nov 21th -30%
• After Nov 22th No Refund