Online registration
IUGA Regional Symposia 2017
Kameda Medical Center & Kameda College of Health Science, MIZUKI hall, Kamogawa, Chiba, Japan, November 30 - December 2, 2017
Step 1
Personal details
Step 2
Confirm registration
Step 3
Registration completed
Before you start your registration, please note:
You are obligated to complete all steps to register.
You can return to a previous step to make changes.
It is impossible to save or return to an incomplete registration.
Payments via credit card are accepted.
Personal details
Gender*
Male
Female
First name
Last name
Field of work
Degree
Organization
Department
Function
Mailing address*
Business
Private
Address
Zip code
City
Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
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Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
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Bahrain
Bangladesh
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Benin
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Bolivia
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Bouvet Island
Brazil
British Antarctic Territory
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British Virgin Islands
Brunei
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Burundi
Cambodia
Cameroon
Canada
Canton and Enderbury Islands
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos [Keeling] Islands
Colombia
Comoros
Congo - Brazzaville
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Cook Islands
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Cyprus
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Denmark
Djibouti
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Ecuador
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Neutral Zone
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Serbia and Montenegro
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Slovenia
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Somalia
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Sudan
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Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
U.S. Miscellaneous Pacific Islands
U.S. Virgin Islands
Uganda
Ukraine
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Unknown or Invalid Region
Uruguay
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Uzbekistan
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State
Select a state
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Phone
Fax
E-mail*
Accompanying persons
Please provide the first and last names of any accompanying persons that are traveling with you (for transportation purposes)
Meeting category
Fee
Member
USD 220.00
Non Member
USD 310.00
Fellow/Resident/Trainee
USD 90.00
Nurse/Physiotherapist
USD 90.00
Seminar
Fee
1 day (Nov 30) Live Surgery and Video Seminar
USD 135.00
Remove option
Special needs / remarks
Continue to step 2
