| USCTF- 4th International Integrative Medicine Conference
Registration Form |
| DEC 7-9 ,2019 |
| First Name名： |
|
|
Last Name姓： |
|
|
Sex |
【 】F 女 |
| |
|
|
|
性别 |
【 】M 男 |
| Email |
|
|
|
|
|
|
|
|
| 邮箱地址： |
|
|
|
|
|
|
|
|
| Preferred Phone |
|
|
Work Phone |
|
|
|
| 优先电话： |
|
|
|
|
工作电话： |
|
|
|
| Coutry |
|
|
Address |
|
|
|
|
|
| 国家： |
|
|
联系地址： |
|
|
|
|
|
| City |
|
|
State |
|
Zip/Postal Code |
|
|
|
| 城市： |
|
|
州： |
|
邮编： |
|
|
|
| |
| Standard
fees |
标准费用 |
US $250 |
|
【 】 |
|
|
| (Registration
on conference day) |
美元$250 |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
| Early
bird discount |
11/30/2019 |
US $200 |
|
【 】 |
|
|
| (Before
Nov 30 2019) |
美元$200 |
|
|
|
| Student
special |
学生优惠价 |
US $200 (please present
student ID) |
【 】 |
|
|
| |
|
美元$200 |
请出示学生证 |
|
|
|
|
|
|
|
|
|
|
|
| 支票Title： |
USCTF |
|
|
|
|
|
|
| 支票邮寄地址：PO
Box 1221 ,Cupertino Ca 95015 |
|
|
|
|
|
|
|
|
|
|
|
|
|
| Contact |
Dr. Chi-hsiu Weng |
联系电话： |
408-836-3459 |
|
|
|
|
|
|
|
|
|
|
|
|
| Email |
drcweng@aol.com |
|
|
|
|
|
|
|
 Updating... Ĉ College Taiji Admin, Sep 26, 2019, 3:38 PM
|
