Registration Clinic name* What kind of specialized services provided by your health centre?ServicesSurgical procedureEndoscopic procedureDental procedureChemotherapyHaemodialysisInterventional radiology and lithotripsyAnaesthetic procedureRadiotherapyOthers FPHC membership no. (if existing member) Mobile* Email* Which area/topics do you like us to address in the workshop? Please specify Payment method*Pay by credit cardPay by cheque Attendee name 1* CC Attendee 1 session*1st attendee - one day session Cheque Attendee 1 session*1st attendee - one day session Attendee name 2 CC Attendee 2 session2nd attendee - one day session Cheque Attendee 2 session2nd attendee - one day session Attendee name 3 CC Attendee 3 session3rd attendee - one day session Cheque Attendee 3 session3rd attendee - one day session Total Please make an ATM transfer or write out a cheque with the following information.Account holder: The Federation of Private Healthcare Centres of Hong Kong LtdBank name: Bank of CommunicationsBank account number: 382537102354702Mailing address for cheques (please quote the name of your clinic at the back of your cheque): The Federation of Private Healthcare Centres of Hong Kong, 6/F, Virtus Medical Tower, 122 Queen's Road Central, Hong KongEmail address for ATM transfer receipts (please quote the name of your clinic): [email protected] ReceiptI require a receipt (collected on site).SubmitReset For inquiries, please call us at +852-38939371.