ONLINE REGISTRATION FORM

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APCCRC 2018 Conference Secretariat (Registration Department)
c/o International Conference Consultants Ltd.
Unit C-D, 17/F, Max Share Centre, 373 King's Road, North Point, Hong Kong
Tel: (852) 2559 9973      Fax: (852) 2547 9528       Email: apccrc-reg@icc.com.hk      Website: www.apccrc.com

    (A) PERSONAL INFORMATION
 
(*) Compulsory fields
Title: * Others, please specify:
Family Name (Last Name): *
First Name (Given Name): *
Position:
Department:
Institution/Organization: *
Address: *
 
 
City/Region/State:    
Postcode: Country:*
Tel: *
(incl. international and area code)
Fax:
(incl. international and area code)
Email: *
(Email is required for further communication.)
Special meal requests: Vegetarian Pork-free Beef-free Others, please specify:
Please indicate your profession: Dietitian                           Doctor                    Nurse                            Occupational Therapist
Physiotherapist              Psychologist             Social Worker             
Others, please specify:
 
    (B) REGISTRATION FEE

Category
Early Bird Rate
(On or before 20 September 2018)
Normal Rate
(After 20 September 2018)
Certificate Course and Conference (8-11 November)
Overseas & local participants HK$2,400 (USD300) HK$3,200 (USD 400)
Conference Only (10-11 November)
Physicians HK$800 (USD 100) HK$1,200 (USD 150)
Allied professionals HK$720 (USD 90) HK$ 960 (USD 120)
Fellows / Members / Affiliates of
Hong Kong College of Cardiology
Waived
Sub-total HK$
*Fellows / Members / Affiliates of Hong Kong College of Cardiology (HKCC) are entitled to free registration of the conference on 10-11 November.
*All presenting authors are eligible for a 50% discount on their registration fee.

Please indicate your abstract number if you will be presenting for your abstract.

Cancellation: On or before 20 September 2018 50% of the registration fee will be refunded.
  After 20 September 2018 No refund.

  (C) LETTER OF INVITATION
On request, the APCCRC 2018 Conference Secretariat will send a letter of invitation by email to participant to attend the Conference.  This invitation is intended to facilitate participant’s travel and visa arrangement and does not imply the provision of any financial or other support.          
For Overseas Delegates Only: Please send me a letter of invitation for visa application.
   (D) PAYMENT DECLARATION

I hereby agree to be bound by the rules and regulations of the Conference and would like to settle the payment in HK$  by:

Cheque in Hong Kong Dollars made payable to “Hong Kong College of Cardiology” and mail to the APCCRC 2018 Conference Secretariat at Unit C-D, 17/F, Max Share Centre, 373 King's Road, North Point, Hong Kong.

Credit Card (in Hong Kong Dollars only)Visa or MasterCard
Registration fee is not required

Rules and Regulations (Registration):

  1. The decision of the Hong Kong College of Cardiology shall be final and conclusive.
  2. Registrations are subject to acceptance on a “first-come-first-served” basis.
  3. Registration forms received without payment will not be processed. Please DO NOT send cash.
  4. Each registrant should complete a separate registration form.
  5. Written confirmation will be sent upon receipt of your registration form and full payment. If you could not receive this confirmation within two weeks, please contact the Conference Secretariat at apccrc@icc.com.hk
  6. The Conference Programme is subject to change without prior notice.  In the unlikely event of cancellation of the Conference, the only and maximum liability of the Conference Organizer is to refund all the fees paid.
  7. All enquiries, changes and cancellations should be made in writing to the Conference Secretariat.
  8. Replacement or transfer is allowed provided the replacement is from the same organization and upon receipt of a written request from the person to be replaced on or before 20 September 2018.
  (E) HOTEL ACCOMMODATION
No hotel reservation required. I will book my own room. I will be staying at Hotel.
Hotel
Room Type
Room Rate Per Room Per Night
(subject to 10% service charge)
Travelling Distance to
Conference Venue
Single Room
(with 1 breakfast)
Double Room
(with 2 breakfasts)
Renaissance Harbour View Hotel
(5-star)
Garden View Room HK$2,500 HK$2,690 Within the same complex as
Conference Venue
The Harbourview (3.5-star) Premier Room HK$1,500 HK$1,620

Opposite to HKCEC
3 minutes’ walk

Empire Hotel Hong Kong, Wanchai (4-star) City View Room HK$1,250 HK$1,350 10-minutes’ walk

Government tax is not required as of today.

Sub-total HK$ (Subject to 10% service charge.)

My selected hotel is

Hotel: 2nd Choice
Date of check-in: Date of check-out:
No. of Nights:    
Arrival Time & Flight:   Departure Time & Flight:
Bed Type: 1 Double Bed     2 Single Beds
I will be sharing with
Special Requests: Smoking Room Non-Smoking Room
Other Requests,
please specify

I would like to use the following credit card to guarantee my hotel reservation and agree to be bound by the hotel booking policy.

        VISA   MasterCard
  Card No. - - -
  Name of Cardholder
  Expiry Date / (MM/YY)

 

I hereby agree to abide by the rules and regulations of the APCCRC 2018.