SOMSE2019
 The 2 nd International Songklanagarind Obesity & Metabolic Surgery and Endoscopy 2019
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Registration Form


Register Type
Title
First name Last name Medical License Number / Thailand Nursing and Midwifery Council Membership Number Sex
Institute Address Country Telephone Email Address Dietary Restrictions
Company Support Name (if any)

Billing Address

Name Address

Activities

 USD  Baht
  Lecture (80 USD)
  Hands-On Bariatric Endoscopy Workshop (400 USD) physicians/surgeons : Full
  Observer Bariatric Endoscopy Workshop (80 USD) physicians/surgeons : 3 spots available
  Observer Bariatric Endoscopy Workshop (80 USD) nurses : 8 spots available
  Hands-On Cadaveric Workshop (600 USD) physicians/surgeons : Full
  Observer Cadaveric Workshop (100 USD) physicians/surgeons : 3 spots available
  Observer Cadaveric Workshop (100 USD) nurses : 6 spots available
  Lecture (2,640 Baht)
  Hands-On Bariatric Endoscopy Workshop (13,200 Baht) physicians/surgeons : Full
  Observer Bariatric Endoscopy Workshop (2,640 Baht) physicians/surgeons : 3 spots available
  Observer Bariatric Endoscopy Workshop (2,640 Baht ) nurses : 8 spots available
  Hands-On Cadaveric Workshop (19,800 Baht) physicians/surgeons : : Full
  Observer Cadaveric Workshop (3,300 Baht) physicians/surgeons : : 3 spots available
  Observer Cadaveric Workshop (3,300 Baht) nurses : 6 spots available

Total Amount