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LOCAL DELEGATE REGISTRATION


Please use the form below if you plan want to reserve a seat.
Kindly fill out ALL requested information. Thank you.

 REGISTRATION RATES FOR THE HMA CONFERENCE ON SEPTEMBER 25 & 26, 2008
 
No. of Delegates
Regular Rate
Aug. 9 to
Sep. 17, 2008
Late Registration
Sep. 18, 2008
onwards
 One delegate
PHP 17,500
PHP 19,500
Two to Three delegates
PHP 15,000
PHP 17,000
 Four or more delegates
PHP 13,750
PHP 15,500
* Rates indicated above are on a "per delegate" basis.
* Delegate fees include access to all workshop sessions, scheduled lunches, refreshment breaks, welcome cocktails, and gala dinner.
 
Important! This form must be separately completed and submitted for each individual delegate.
 
1..
For individual registration, fill in the form given below.
2.
For group registration, please:
a.
Indicate in the box below how many delegates will attend.
b.
Fill-up the form below.

In registering multiple delegates, please take note that you will go back to this page to enter other delegates' personal information.

  PERSONAL INFORMATION
Please fill up the form below.  Kindly take note that marked items ( * ) are required fields.
 
*Title (Mr./Ms.):
*Given Name ( First Name):
*Family Name (Last Name):
Middle Initial
Position
*Hospital/Organization:
No:
Building:
Street:
City/State
Zip Code
*Country
Tel:
Fax
*Email
   

We are giving a 10% discount to members of HMA partner associations. Please choose which association you belong to from the list below.

   
   


 
*I have read/agreed to the Terms and Condition of Registration stated below.
 
  
 

 
All conference registrations are made subject to the following terms and conditions of HMA 2008 as set out below:
 
1. Cancellation
  Refunds less Php 2,000 will be granted ONLY if WRITTEN request is received by August 30, 2008. NO REFUNDS will be granted AFTER this date or for NO-SHOWS. If you are unable to attend, we recommend that you send a substitute.
     
2. Discount Deadline
  a. To qualify for the Early Bird registration discount, your registration form and payment must be received by Friday, August 8, 2008. Otherwise the regular rate will be charged.
     
  b.

To qualify for Regular rate, your registration form and payment must be received by Wednesday, September 17, 2008. Otherwise the late registration rate will be charged.

     
3. Group Registration
  a. Group discounts apply only for two or more delegates from the same organization with one billing address.
     
  b. All names must be submitted at the same time. Cancellations will not be allowed, only substitutes. Registrations that arrive later will be processed as individual registrations and will NOT be eligible for the group discount.
     
  c. Only ONE payment to cover all registrations.
     
  d. A Group rate MAY NOT be combined with other conference discounted rates.
     
  e. For every seven (7) delegates from one company/organization, there’s a free seat for the 8th delegate. For every 14 delegates from one company/organization, another two (for the 15th and 16th delegates) seats are free PLUS one free expo booth.
     
4.

No Deductions and Withholdings

  The rates quoted are NET amounts to be remitted with no deductions and withholdings for taxes or other purposes.
     
 

FOR MORE INFORMATION PLEASE CONTACT:

The Hospital Management Asia Secretariat
Lei Diansay
Delegate Services Coordinator
10 Garcia Villa Street, San Lorenzo Village
Makati City 1223, Metro Manila, Philippines
Tel: (632) 892-1650 Fax: (632) 819 3752
Email: leidiansay@oiceventsasia.com