36th Annual Meeting of the International Society for Dermatologic

advertisement
36th Annual Meeting of the International Society for Dermatologic Surgery, Seoul, 2015
October 1~4, COEX
ISDS 2015 CONGRESS REGISTRATION FORM
Please kindly complete this form and send to ISDS Seoul Office isds2015@koconex.com
[1] Personal Information (Please type or print clearly)
Title
Dr.
Prof.
Mr.
Mrs.
First (Given) Name
Last (Family) Name
Country
Department
Ms.
Other
Organization
Address
Phone
Fax
E-mail

Special Requirements: Special dietary.
Accompanying Person
1
First (Given) Name
Last (Family) Name
Special Requirements: Special dietary.
[2] Check your choice
A. Registration
Early-bird until July 31, 2015
After July 31, 2015
ISDS Member
€ 300
€ 500
Non Member
€ 400
€ 700
Resident
€ 150
€ 200
$ 300
Asian Group Registration (Min. 10 pax)
ISDS Member Developing Country
€ 200
€ 400
Physician from Developing country
€ 250
€ 400
Spouse Pass*
€ 200
Exhibitor Badge**
€ 50
€
Sub Total (A)
 If you are registering as a resident, Certificate of Employment must be sent to the local congress secretariat along with
a copy of your passport by fax (+82.2.3476.8800) or e-mail (isds2015@koconex.com).
*Spouse Pass: Access to Exhibition Area, Welcome Reception, Coffee Breaks, Traditional Day & Night
**Exhibitor Badge: Access to Exhibition Area, Opening Ceremony, Plenary Lectures, Welcome Reception, Coffee Breaks
B. Course
Date & Time
Program
October 1, 09:00-10:00
(Breakfast will be provided)
Physician
Resident
1. ANATOMY for Facial Injectables
€ 50
€ 30
2. ANATOMY for Dermatologic Surgery for Flaps and Grafts
€ 50
€ 30
3. Liposuction and Fat Grafts
€ 50
€ 30
Tel: +822-3476-7700
[ISDS 2015 Seoul Secretariat]
Fax +822-3476-8800 E‐mail: isds2015@koconex.com
36th Annual Meeting of the International Society for Dermatologic Surgery, Seoul, 2015
October 1~4, COEX
October 2, 07:30-08:30
(Breakfast will be provided)
October 3, 07:30-08:30
(Breakfast will be provided)
4. Hyperhidrosis
€ 50
€ 30
5. All about Scar Treatments
€ 50
€ 30
6. Thread Lifting
€ 50
€ 30
7. All about Periorbital Rejuvenation
€ 50
€ 30
8. How to Create a Beautiful Smile
€ 50
€ 30
9. How to Diagnose Skin Cancer with Dermoscopy
€ 50
€ 30
€
€
Program
Physician
Resident
Flaps and Grafts the Old teach the Young
including Anatomy Basics (Resident only)
-
Sub Total (B)
C. Post Congress Workshop (October 4, Sunday)
Time
09:00-17:00
09:00-13:00
13:00-17:00
Place
COEX
Korea University
College of Medicine
€ 30
Fresh Cadaver Workshop Focused on Regional
Face Anatomy for all Injectables
€ 300
€ 300
Fresh Cadaver Workshop Focused on Flaps and
Grafts Surgery and Nail Anatomy
€ 100
€ 100
09:00-13:00
Modelo Clinic
Botox and Filler for Advanced including Live
Patient treatment
€ 300
€ 300
09:00-13:00
Dr. Hwang’s Hair
Transplantation
Center
Hair Transplantation with Live Patient Treatment
€ 300
€ 300
09:00-13:00
Cell Park Clinic
Liposuction Fat Graft and Body Volumazation
including Live Patient Treatment
€ 300
€ 300
09:00-13:00
Bundang Seoul
National University
Hospital
Laser and other Energy Driven Technology in
2015 for Dermatologic Surgeons including Live
Patient treatment
€ 300
€ 300
€
Sub Total (C)
€
D. Social Events
Date & Time
Place
Program
Admission Fee
October 1, 19:00-20:00
COEX Grand Ballroom Lobby
Welcome Reception
included
October 2, 14:30-18:00
Changdeokgung, Jongmyo Shrine
Traditional Day in Seoul (City Tour)
included
October 2, 18:30-21:00
Korea House
Traditional Night
included
October 3, 19:30-24:00
Sebitseom (Sebit island)
Gala Dinner
€ 85
€
Sub Total (D)
[3] Payment Information (Please select your payment method.)
Total Payment: (A)+(B)+(C)+(D)
Tel: +822-3476-7700
€
[ISDS 2015 Seoul Secretariat]
Fax +822-3476-8800 E‐mail: isds2015@koconex.com
36th Annual Meeting of the International Society for Dermatologic Surgery, Seoul, 2015
October 1~4, COEX
Bank Transfer






Bank Information





Bank Name: SHIN HAN BANK
Account Holder: ISDS2015
Account Number: 140-009-875860
Bank Address: 20, sejong-daero 9-gil, jung-gu, Seoul, South Korea
Swift Code: SHBKKRSE
Sender’s Name:
A duplicate or photocopy of the bank transfer statement with the applicant’s name and address in addition to the
payment details must be sent to the ISDS2015 local Secretariat by fax or e-mail.
All bank service charges are to be paid by the applicants. Checks will not be accepted.
Names of applicant and sender should be same. If not, please inform to ISDS2015 local Secretariat.
A confirmation letter will be forwarded to you after we have received your full payment.
All registration process will be completed after the registration fee has been paid.
Credit Cards





Card Information


Cardholder’s Name:
Card Number:
Expiration Date:
CVC2/CVV2:
Authorized Signature:
Registration fees may be paid by credit only through the secure online system.
Only VISA, Master and JCB cards are accepted.
[4] Cancellation Policy




All cancellations must be submitted in writing via fax or e-mail to the local Congress Secretariat.
All refunds will be processed after the completion of the ISDS2015 according to the following policy and all
processing fees will be deducted from the reimbursement.
 Up to July 31, 2015: 100% of the registration fee will be refunded.
 From August 1 to 31, 2015: 50% of the registration fee will be refunded.
 From September 1, 2015: No refunds will be given for cancellations received on or after this date.
If you do not attend the congress without notice of cancellation, no refund will be given.
All dates are based on Korean standard time (GMT+9).
[5] Visa & Passport
All foreign visitors entering South Korea must possess valid passports. Nationals of most countries may enter visa-free for
a maximum duration of 30 days, given possession of confirmed return or alternate destination tickets. For a list of
countries with visa-free entries and countries under visa exemption agreements, please go to
www.mofat.go.kr/ENG/visa/application/index.jsp. For more specific information regarding visa requirements, please
contact your local Korean consulate.
Tel: +822-3476-7700
[ISDS 2015 Seoul Secretariat]
Fax +822-3476-8800 E‐mail: isds2015@koconex.com
Download