5th Annual Scientific Meeting of
the Obstetrical and Gynaecological Society of Hong Kong and
Ovarian Club VII
21-22 May 2016 Hong Kong Convention and Exhibition Centre
REGISTRATION FORM
Please complete the form below and return it with the appropriate payment to:
Meeting Secretariat c/o International Conference Consultants Limited
Office Address: Unit C-D, 17/F, Max Share Centre, 373 King's Road, North Point, Hong Kong
Tel: (852) 2559 9973
Fax: (852) 2547 9528
Email: reg@OC-OGASM2016.com
PERSONAL INFORMATION
Title:
Prof.
Dr.
20151202
(Please type or print in block letters and  where appropriate)
Mr.
Mrs.
Ms.
Others, please specify:
Family Name:
First Name:
Position:
Department:
Institution:
Address:
City/State:
Postcode:
Country:
Tel:
Fax:
Email:
(Email is required for further communication.)
Special meal requests:
Vegetarian
Pork-free
Beef-free
Others, please specify:
REGISTRATION FEES
Category
Members (OGSHK or HKSRM)1
Non-members2
Trainees / Midwives / Allied Health3
Day Registration for Trainees and Midwives (Hong Kong)3
Early Bird Rate
(on or before 1 April 2016)
 HK$1,600 (US$205)
 HK$2,000 (US$260)
 HK$400 (US$50)
 HK$300
Regular / Onsite Rate
(after 1 April 2016)
 HK$2,000 (US$260)
 HK$2,500 (US$320)
 HK$600 (US$75)
 HK$400
1
Members of The Obstetrical and Gynaecological Society of Hong Kong (OGSHK) or Hong Kong Society of Reproductive Medicine (HKSRM).
Local physicians who register and pay as “Non-member” for the Meeting can apply for membership of OGSHK for free within year 2016.
3
Verification letter from your institution / hospital is required to qualify for the Trainee/Midwives/Allied Health fee.
2
PAYMENT DECLARATION
I hereby agree to be bound by the rules and regulations of the Meeting and would like to settle the payment of
HK$
by
Cheque payable to “International Conference Consultants Limited” (for Hong Kong participants only)
Credit Card
Visa
MasterCard
(Please contact your credit card company to notify them of this international charge to prevent the transaction from being
rejected. The merchant name shown on the statement will be ICC LTD and the amount charged will be in HKD.)
I hereby authorize ICC Ltd. (International Conference Consultants Limited) to debit the above-mentioned amount from my card.
Card Number:
Expiry Date (MM/YY):
Name of Cardholder:
Cardholder’s Signature:
Date:
NOTES
1.
2.
3.
4.
5.
6.
Each registrant should complete a separate registration form.
Registration form without payment will NOT be processed. Please do NOT send cash.
Meeting Secretariat will send a letter of confirmation by email upon receipt of your registration form and full payment.
Cancellations must be made in writing to the Meeting Secretariat and the refund will be made after the congress. If cancellation is received
on or before 22 April, 50% of the registration fee will be refunded. Thereafter, there is no refund of registration fee. Substitution is
permitted on the basis that written notice is received before 1 May 2016..
The programme is subject to change without prior notice. In the event of cancellation of the Meeting, the only liability of the Organizers is
to refund the registration fees paid.
All enquiries, changes and cancellations should be made in writing to the Meeting Secretariat.
5th Annual Scientific Meeting of
the Obstetrical and Gynaecological Society of Hong Kong and
Ovarian Club VII
HOTEL ACCOMMODATION FORM
Family Name*:
Given Name*:
No hotel reservation required.
I will book my own room. I will be staying at _
Please book a room for me.
Hotel
__________ Hotel.
Room Type
Room Rate Per Room Per Night
(subject to 10% service charge)
Single Room
Double Room
(with 1 breakfast)
(with 2 breakfasts)
Renaissance Harbour View Hotel Garden View
(, within the same complex
Room
as the venue)
Novotel Century Hong Kong
HK$1,990 (US$257)
HK$2,180 (US$280)
(, 10-15 minutes’ walk to the
venue)
Standard Room
HK$1,468 (US$190)
HK$1,636 (US$211)
The Harbourview
Premier Room
HK$890 (US$115)
HK$980 (US$127)
Harbour View
Room
HK$1,090 (US$140)
HK$1,180 (US$153)
(½, 5 minutes’ walk to the
venue)
Check-in Date:
Check-out Date:
Arrival Time & Flight:
Bed Type:
Sharing Person
Special Request:
Total No. of Nights:
_______
Departure Time & Flight:
1 Double Bed
2 Single Beds
I will be sharing with:
Smoking Room
Non-Smoking Room
Other Requests:
Booking Notes:
1. The above rates are subject to 10% service charge. 1 daily breakfast for single occupancy and 2 daily breakfasts for double occupancy is included
in the room rate. Government tax is not required as of today.
2. To guarantee the special discount rates, reservations must be made through International Conference Consultants Limited (ICC). Credit card
details are required by hotel to secure your booking.
3. The room rate in USD is for reference only.
4. Hotel reservations will be taken on a first-come, first-served basis and subject to room availability. ICC has an obligation to return all unsold
rooms to the hotels after 8 April 2016. Therefore room availability and special rates for reservations made after that date cannot be
guaranteed.
5. The above hotel rates are only valid during the Meeting period for delegates. All bookings for days outside the Meeting period will be subject to
availability.
6. All enquiries, changes or cancellation of room reservations should be addressed to ICC and NOT directly to the hotel.
7. Cancellation Policy:
Cancellations before 8 April 2016
One-night room charge will be charged as cancellation fee.
Cancellations, change or shorten period of stay after 8 April 2016
Full room charge of entire period of stay and/or unused nights
will be charged as cancellation fee.
TO GUARANTEE HOTEL RESERVATION
I hereby agree to be bound by the above rules and regulations and would like to guarantee my hotel reservation by
☐ Visa
☐ MasterCard
Credit Card Number:
Expiry Date:
Cardholder’s Name:
Cardholder’s Signature:
Signature:
Date:
(If you would like to settle hotel deposit by other payment methods, please contact the Conference Secretariat for details.)