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					                   The 6th Hong Kong International Orthopaedic Forum


               “Musculoskeletal Degeneration”
                                                 April 25 (Sat) - 26 (Sun), 2009


 International guest speakers:


 Prof. Arnold-Peter                       C. WEISS
 Warren Alpert Medical School of Brown University, USA


 Prof. Dieter           GROB
 Schulthess Clinic, Zurich, Switzerland


 Prof. Eiji      ITOI
 Tohoku University School of Medicine, Japan



 Chairman
 Dr. Wang CHOW

 Scientific Committee

 Dr Boris FUNG
 Dr William LU
 Dr Wai Pan YAU
 Dr Wai Yuen CHEUNG
 Dr Fu Yuen NG
 Dr Hon Bong LEUNG
 Ms Norita CHOW



Accreditation

HK College of Orthopaedic Surgeons        8 CME (Cat A)
                                          3 CME (Rehab)
                                          8 Training Points
HK Occupational Therapists Board          5.5 CPD
HK Physiotherapy Association              10 CPD
HK College of Family Physicians           CME pending
Non-Specialists (DH/HKDU/HKAM/HKMA)       CME pending
HK West Cluster                           CNE pending




                                                 Registration and symposium details:

                                          www.hku.hk/ortho/ortho/6hkiof
                                   Venue: Cheung Kung Hai Conference Centre, G/F, William MW Mong Block,
                                                  21 Sassoon Road, Pokfulam, Hong Kong

                                           Organized by The Department of Orthopaedics and Traumatology, the University of Hong Kong

                                                    Tel: (852) 28554257   Fax: (852) 28174392   Email:ortho1@hkucc.hku.hk
                              6th Hong Kong International Orthopaedic Forum
                                                   “Musculoskeletal Degeneration”

                                                  April 25-26, 2009
       Cheung Kung Hai Conference Center, G/F, William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.
                Organized by the Department of Orthopaedics and Traumatology, the University of Hong Kong


            OFFICIAL REGISTRATION FORM - LOCAL DELEGATES (Hong Kong & China)

First name:                                                     Family name:

Title:              (Prof/Dr/Mrs/Ms/Mr)                         Country:                           Hong Kong / China

Address:

Hospital:                                                       Department:

Tel:                                                Fax:                                           E-mail:


Payment:                                          Before 31 Mar. 2009                                 After 31 Mar. 2009 and on site
Doctors                                           HK$ 600                                             HK$ 700
Allied health and nurses                          HK$ 400                                             HK$ 500
Total:


Method (please cross out)                         Credit Card                                         Cheque

 Complete the attached credit card authorization form or pay with a crossed cheque payable to 'The
 University of Hong Kong' sent to: Orthopaedic Forum Secretariat, Department of Orthopaedics
   and Traumatology, 5/F Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong.
--------------------------------------------------------------------------------------------------------------------------------------------------
                                      Credit Card Payment Authorization Form - Local




I hereby authorize the University of Hong Kong to debit the following credit card in the total amount indicated below for payment of
                                the registration fee of the 6th Hong Kong International Orthopaedic Forum.


Paying Card Number:
                                                                          /                       /                       /
Total amount to be debited (HK$)
Name (as shown on card):
Expiry date                                                                              (M)                                  (Y)
Authorized Signature                                                                                                  Date

                                                                                                                              For office use



                                         For details: Orthopaedic Forum Secretariat ortho1@hkucc.hku.hk
                                                     Tel: (852) 28554257  Fax: (852) 28174392

				
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