Joint Annual Scientific Meeting 2005, Hong Kong : 19th March, 2005

The Hong Kong Society of Haematology
The Hong Kong Association of Blood Transfusion and Haematology

REGISTRATION FORM
If you wish to attend the conference dinner, please register before March 12, 2005.

I. Delegate Registration (Please type or print clearly)
Title: Prof Dr Mr Mrs Ms
Name:
Hospital/Institution:
Address:
Phone:
Fax :
E-mail:
Please tick the appropriate boxes:
I am a member of The Hong Kong Society of Haematology and/or The Hong Kong Association of Blood Transfusion and Haematology. I wish the above information printed in the program book. I wish to attend the dinner after the meeting.
II. Registration Fees For Dinner (Please check one only if you are attending the dinner.)
Member	HK$ 100
Non-member	HK$ 250
Invited guest	Free