<2008 Global TCM Symposium - Vancouver> Registration Form <仝小林教授國際中醫研討會-溫哥華>報名登記表

2008 Global TCM Symposium – Vancouver仝小林教授國際中醫研討會 - 溫哥華
Oct. 25th & 26th, 2008 10月25日及26日 at Langara College, Vancouver
Registration Form 報名登記表

Seminar (please check) 講座(請選擇):
( )Oct. 25, 2008, Topic: Clinical Treatment for Corpulency, Diabetes and Collaterals (Mandarin & English Translation) 讀經典﹐做臨床 (中英文)

( )Oct. 26, Topic: TCM Modern Clinical and Applicable Experience (Mandarin) 中醫現代臨床應用經驗(中文)

( )Both Seminars以上兩個講座都參加

Member(是否本會會員):  ( )Yes 是   ( )No 否

If Yes: QATCMA Membership # :____________
如果是﹐QATCMA會員號

Name 姓名: _____________________________

Address 地址: ________________________________________________________

City: __________________ Prov.: ________ Postal Code: ___________

Telephone No. 電話: ___________________(Business) ________________(Home/Cell)

Email Address: _______________________________________________________

Together with the cheque made payable to QATCMA in the sum of ______________
後附支票金額: ______________

Fee 收費:
Oct. 25 (4 hrs courses) 10月25日(4小時課程)
Member會員$80 Non-Member非會員$150

Oct. 26 (6 hrs courses) 10月26日(6小時課程)
Member會員$100 Non-Member非會員$180

Oct. 25 & 26 (10 hrs courses) 10月25日及26日(10小時兩天課程)
Member會員$150 Non-Member非會員$250

Please mail this registration form together with your cheque to QATCMA office by Oct. 17, 2008. 請將此登記表連同付款支票於10月17日前郵寄QATCMA辦公室。

Address 地址: #300 – 5900 No. 3 Road, Richmond, VBC V6X 3P7, Tel.電話: 604-278-6220, Fax 傳真: 604-278-1312, Email電子郵件: qatcma@uniserve.com