Vous êtes sur la page 1sur 2

Convening in 2012

2012
April 13 15, 2012
Singapore

Improving patient outcomes through individualised medicine

Call for abstracts


Deadline 31 December 2011

Accepted abstracts will be published in a special


supplement of the European Journal of Cancer
Early bird registration until 31 December 2011

www.asianoncologysummit.com

Organized by

AOS Secretariat
Elsevier (Singapore) Pte Ltd
3 Killiney Road, #08-01, Winsland House 1
Singapore 239519
Tel: +65 6349 0283 Fax: +65 6733 1817
Email: aos@elsevier.com

facebook.com/asianoncologysummit

REGISTRATION FORM
In order for the registration to be processed, kindly complete all
details in the registration form and send it back to us at
aos@elsevier.com or fax: +6567331817
Prof.

Dr.

Mr.

Mrs.

Ms.

Last Name

First Name

Company/Organisation

Designation

Address
Postal Code

City

Country

Phone

Fax

Email

Please provide vegetarian meals (There will be no pork


and no lard for all meals.)

Please tick this box if you wish to receive special offers


or promotions from our Elsevier affiliates worldwide about
related products & services.

REGISTRATION FEES PAYABLE IN US Dollars


FEE
CATEGORY

EARLY BIRD REGISTRATION


Until 31 December 2011

STANDARD REGISTRATION
01 January 31 March 2012

ON-SITE REGISTRATION
13 15 April 2012

Registration Fees

USD 600

USD 700

USD 750

*Registration fees are NOT inclusive of prevailing Goods & Services Tax (GST) rate of 7%.
**Registration fees are inclusive of lunches and tea breaks during the summit only on 1315 April 2012 as indicated in the programme.
***Special rates are available for members of supporting organisations. Please contact AOS 2012 Secretariat to enquire.

PAYMENT OPTIONS
Credit Card

Visa

MasterCard

Card Holder Name


-

Card Number

Card Expiry Date


M

3-Digit Security Code

By providing the above, I am authorising AOS 2012 Secretariat to charge USD

CardholdersSignature
CASH
Cash is only accepted on-site on April 1315, 2012 during the official
registration opening hours. Only USD will be accepted.
INSURANCE
Participating delegates are encouraged and advised to purchase
their personal travel insurance. The organiser will not be held liable
for any injuries, damages or loss to individual or belongings during
AOS 2012.

to my credit card.

Date
COLLECTION OF PAYMENT
Elsevier (S) Pte Ltd, organiser of Asian Oncology Summit 2012
(AOS 2012) had appointed and authorised Corporate IT Solutions Pte
Ltd to collect and process payment for AOS 2012 registration.
CANCELLATIONS
For cancellations received in writing prior to January, 31, 2012 the
paid registration fee will be returned less 25% administration fee. No
refund will be issued after the specified date. Reimbursement will be
forwarded 60 days after the congress.

IMPORTANT
Registration forms without payment will not be processed. For administrative reasons registration forms received after 1 April 2012 will not be
processed. Delegates will have to register on site during the official registration opening hours. The congress organisers accept no liability for
registration payment lost in mail.
AOS 2012 Secretariat - Elsevier (S) Pte Ltd
3 Killiney Road, #0800, Winsland House I, Singapore 239519 Tel: +6563490283 Fax: +6567331817 Email: aos@elsevier.com

Vous aimerez peut-être aussi