9th Congress, Asian - Pacific Association for 
Laser Medicine & Surgery
13th Congress, International YAG Laser Society

REGISTRATION FORM
Please return this form on the Congress Secretariat
Please tick any Prof. Dr. Mr. Ms. Miss.
Name
Institution
Mailing Address
City
Country
Postal Code
Tel. Home
Office
Telefax
E-mail
Please tick any
REGISTRATION FEES
Category Until July 1 After July 1 No. of Person Total
Member US$ 250 US$ 300    
Non-Member US$ 300 US$ 350    
Accompanying Person US$ 150 US$ 200    
Nurse / Tech / Resident US$ 125 US$ 150    
Pre-Congress Institutional Course
  Until July 1 After July 1 No. of Person Total
Physician US$ 60 US$ 75    
Nurse / Tech / Resident US$ 30 US$ 40    
MODE OF PAYMENT
Registration on form should be accompanied by Bank Draft, Bank Transfer, or Credit Card Payment.