Registration: The 2nd AMFAS International Foot & Ankle Meeting, Bangkok 2017
For registration, please send a below form to 'chatthara@yahoo.com'
Tel: +662 926 9775
Tel: +662 926 9775
| The 2nd AMFAS International Foot & Ankle Meeting, Bangkok, Feb 21, 2017 | ||
| Personal Details | ||
| Email Address:____________________ | ||
| Confirmation
of Email Address:__________________ |
||
| Surname:_________________________ | ||
| First Name:_______________________ | ||
| Title:____________________________ | ||
| Position:_________________________ | ||
| Address:_________________________ | ||
| City:____________________________ | ||
| Postal Code:______________________ | ||
| Country:_________________________ | ||
| Phone:___________________________ | ||
| Fax:_____________________________ | ||
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