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Congress Registration form

MSAI Member :
New membership :
Vegetarian Diet :
Participant :
Title:
Full Name:
Mailing Address:
Postcode:
Country:
Company/Organization/Institute:
Telephone No:
Mobile No:
Fax No:
Email:
Speciality:
Registration Fees
Registration Early Bird Registration on or Before 1st March, 2018 Normal Registration will apply after 1st March 2018 On Site Registration will apply after 20th March 2018 AMOUNT
MSAI/ISAI Member Non Member MSAI/ISAI Member Non Member MSAI/ISAI Member Non Member  
New membership
Ordinary / Corresponding (Entrance Fee + Subscription) (Entrance Fee RM 100.00 + RM50.00 Subscription Fee) Total : RM 150.00
Life (One-time payment) RM 1,000.00
Amount payable
Payment Details
Mode of Payment: Cash / Cheque / Bank draft / Electronic on-line transfer / Telegraphic transfer
You are strongly encouraged to pay via electronic means
Payment Method:
Attached is a scanned copy of the proof of payment electronically on line: (Image file)
Disclaimer

*Registration forms will be accepted only if presented with payment or proof of payment.

*No refunds will be issued for cancellation received after 1st March, 2018.

*All approved refunds will be processed after the Conference and refunded (at the prevailing currency exchange rates for overseas applications), less bank charges, if any.

Hotel Confirmation:

For Room Reservation, please call Tel: 603-2082 6000, email: reservation.kulha@ihg.com or visit their, website: www.kualalumpur.intercontinental.com

Free Papers Presentation (Oral & Poster)

For Application for Free Papers Presentation and Guidelines on Submission of Free Papers, please visit the MSAI website: www.allergymsai.org

All presenters of Free Papers and Posters must register as participants to be eligible.

Kindly ensure all applications are accompanied by the appropriate Registration Fee.