7th International Prader-Willi Syndrome Organization Conference
May 20-23, 2010, Taipei County, Taiwan
Registration Form
International Attendant
Hint: Fields marked with * must be filled out
Participant
*Title
*Name First Middle Last
*Sex Female Male
*Passport No (For tour insurance)
*Institution
*Mailing Address
*City/State
* Postal/ ZIP code
*Country
*Tel +- - #
* Fax +- -
* EMail
* Birth (YYYY/MM/DD)
Accompanying person(s)
No. Title Name Passport No Birth Sex
1. Female Male
2. Female Male
Registration fee
(The payment should be made in NT$. The exchange rate will base on US$1:NT$34.)
Registration: Standard Bird (on/after April 16,2010) No. of Persons
Medical Professional US$450(NT$15,300)
Other Professionals US$350(NT$11,900)
PWS person/Parent/Relative of PWS US$175(NT$5,950)
Student/accompanying caregiver US$175(NT$5,950)
Sub Total :Registration Fee
US$ (NT$ )
Notes：Above registration fee is including 3 Days Conference, Coffee Breaks, Light Lunches.
Youth Program
Registration Fee No. of mate
Youth Program: May 21& 22
Registration Fee for 2 persons
(caretaker and person with PWS)/per mate 		US$150(NT$5,100)/per mate
Sub Total :Youth Program Fee
US$ (NT$ )
Notes：Above registration fee is including 3 Days Conference, Coffee Breaks, Light Lunches, Welcome and Gala Dinner for caretaker and person with PWS.
One Day Pass Only
(Please sign up the e date if you want to participate)
Registration Date No. of Persons Charge of per day
Professional May 20, 2010 May 21, 2010 May 22, 2010 US$200(NT$6,800)
PWS person/Parent
/Relative of PWS 		May 20, 2010 May 21, 2010 May 22, 2010 US$60(NT$2,040)
Sub Total :One Day Pass Fee
US$ (NT$ )
Social program
(Please sign up the following program if you want to participate)
Date Event No. of Persons Charge of per person
20-May,2010 Welcome Dinner US$40(NT$1,360.00)
22-May,2010 Gala Dinner US$40(NT$1,360.00)
Sub Total :Social Program Fee
US$ (NT$ )
Meal preference:Vegetarian Regular Others
For student, a photocopy of current student ID or a letter from the department chair certifying the status is required.
Other Requirements

Cancellation

  • A 30USD (NT$1200) administrative fee will be charged for cancellations received by the Secretariat before April 30th, 2010. No refund will be made for cancellation after April 30th, 2010. Refunds will be sent only after the meeting is completed.
  • Please advise us your cancellation info by Email: IPWSO2010@mail.tcm-mice.com.tw or fax: +886-2-25968569. Please tell us what is the cheque payable written and the address.
Grand Total :
US$ (NT$ )
Confirmation
I confirm that all data specified is correct!