ONLINE REGISTRATION 網上註冊

ENTER YOUR PROMO CODE ( IF ANY ) 輸入您的優惠碼(如適用)

A. PARTICIPANT INFORMATION (Please fill-in ALL mandatory fields (*). ) 參加者資料 (請填寫所有必填項目*
* Prefix 稱號:                      
* Given Name
名字: 
* Surname
姓氏: 
* Position
職位: 
* Department
部門: 
* Institution
機構:
Tel (Office)
電話 (公司): 

(Country Code) (Area Code) (Number)
(國家代碼) (地區代碼) (號碼)
* Tel (Mobile)
電話 (手提電話): 

(Country Code) (Number)
(國家代碼) (號碼)
* Email
電子郵件:  
* Region/Country
國家/地區: 
* Gender:        Fax: 
(Country Code) (Area Code) (Number)
Full Address: 
* Need an invitation letter for Visa application:             
* Are you an EU passport holder? 閣下是否持有歐盟護照?  
           
* Do you want to receive regular update concerning the ACEM2021? 閣下是否願意接受ACEM2021的最新資訊通知? 
           

B. REGISTRATION 註冊
Categories 種類 Early Bird Registration
(Until 31 Oct 2021)
早鳥優惠
至2021年10月31日
Standard Registration
(Until 12 Dec 2021)
正常註冊
(至2021年12月12日)
Late Registration
13- 16 Dec 2021 (noon, HK Time)
逾時註冊
2021年12月13至16日,(香港時間中午 )
Physician 醫師 HKD 3,300
Physician - Low Income Countries
醫師 - 低收入國家
HKD 2,500
Chinese Medicine Practitioner, Nurse, Paramedic and Student 中醫師、護士、護理人員及學生 HKD 2,500
Chinese Medicine Practitioner, Nurse, Paramedic and Student - Low Income Countries
中醫師、護士、護理人員及學生 - 低收入國家
HKD 2,000
Day Registration 單日註冊 HKD 1,700

C. Pre-Conference Workshop
Pre-Conference Workshop Date Physical Virtual
Advanced Skills in Procedural Sedation and Analgesia, and Regional Anaesthesia in Emergency Department 4 Dec 2021
Cadaveric Ultrasound and Emergency Procedural Skills Workshop (2-day Course) 11-12 Dec 2021 -
Cadaveric Ultrasound and Emergency Procedural Skills Workshop (1-day Course) 11 Dec 2021 -
Cadaveric Ultrasound and Emergency Procedural Skills Workshop (1-day Course) 12 Dec 2021 -
Update on Patient Management in Emergency Medicine Ward - Virtual 11 Dec 2021 -
Practical biostatistics Workshop for EM researchers 14 Dec 2021
Geriatric Emergency Medicine 15 Dec 2021 -
Introduction of Chinese medicine 16 Dec 2021
Dietary requirements
Dietary:                   
Other dietary requirements:
SUB-TOTAL(1):    

GRAND TOTAL (A)+(B):

C. HOTEL ACCOMMODATION (Delegates of the IEAM could enjoy the following special room rate)
  • All rates are on per room per night basis, inclusive of 10% service charge and free wi-fi.
  • The room is on first-come-first-served basis.
  • For enquiry on pre/post stay, please contact the Conference Secretariat at acem2021-reg@connexustravel.com.
# Room rates in US Dollar are for reference only. Payment will be transacted in Hong Kong Dollar.
Check-in: (dd/mm) Check-out: (dd/mm) No. of nights:   
Preference:
Bedding Request:
Hotel Room Type Room Rate per night#
Crowne Plaza Hong Kong Kowloon East Superior Room (Single) including (1) daily breakfast
Superior Room (Twin) including (2) daily breakfasts
Holiday Inn Express Hong Kong Kowloon East Standard Room (Single) including (1) daily breakfast
Standard Room (Twin) including (2) daily breakfasts
Dorsett Kwun Tong Hong Kong Standard Room (Twin) including (2) daily breakfasts
Roommate (if any):
Special Requirements:
SUB-TOTAL(2):

D. AIRPORT TRANSFER
Mercedes Benz
MPV (7-seater)
Flight Arrival: Date: (dd/mm) Time: Flight No:
Flight Departure: Date: (dd/mm) Time: Flight No:
Please advise your hotel contact if your hotel reservation is not made through Connexus Travel:
SUB-TOTAL(3):

GRAND TOTAL:
累計金額:
   
Credit Card Transaction Fee:    

D. PAYMENT METHODS 付款方式






Account Name:
帳戶名稱
Connexus Travel Ltd
全旅達國際旅遊有限公司
Bank Code:
銀行代碼
004
Account Number:
銀行帳號
111-016275-002
Bank Name:
銀行名稱
The Hong Kong & Shanghai Banking Corp Ltd
香港上海匯豐銀行有限公司
Bank Address:
銀行地址
1 Queen's Road Central, Hong Kong
香港中環皇后大道中1號
Swift Code: HSBCHKHHHKH

**Please send a copy of the remittance slip within 5 days from the application submission date by emailing to acem2021-reg@connexustravel.com or by fax to (852) 2590 0099 and notify us of the name(s) of the participant(s) for reference. All charges on bank transfer will be borne by the participant(s).

**請在報名日起5天內發送匯款單的副本至 acem2021-reg@connexustravel.com 或傳真至(852)2590 0099,並提供參加者的姓名以供參考 。 銀行轉賬的所有費用將由參加者承擔。
Please make the cheque payable to the Conference Secretariat "Connexus Travel Ltd", and mail to the following address within 3 days after registration:

Connexus Travel Ltd.
Unit 501 5/F Tower B, Manulife Financial Centre
223 Wai Yip Street, Kwun Tong, Kowloon Hong Kong
Attn: Ms Kathryn Lai

E. IMPORTANT NOTES 注意事項
  • FULL PAYMENT to the Conference Secretariat of ACEM 2021 must be received in order to confirm your registration. Those who do not receive a confirmation notice before the conference are requested to contact the Conference Secretariat at acem2021-reg@connexustravel.com.
    ACEM 2021 會議秘書處必須收到全額付款,才能確認您的註冊。會議前未收到確認通知請電郵到acem2021-reg@connexustravel.com與會議秘書處聯繫。
  • Please note that registrations without payment will not be accepted. For administrative reasons, online registrations and payments received after 16 December 2021 (noon, Hong Kong time) will not be processed.
    請注意,大會將不接受未付款的註冊,於2021 年 12 月 16 日(香港時間中午)之後收到的註冊和付款將不予處理。
  • All bank charges should be borne by participants. Complete registration fee must be received by the Conference Secretariat.
    所有銀行費用需由參與者承擔。會議秘書處必須收到完整的註冊費。
  • By participating at ACEM 2021, you grant the organizer the right to use your personal data for the purposes of processing the registration and handling relevant matters relating to the ACEM 2021. The personal data may be provided to authorized parties involving personnel, agents, advisers, auditors, contractors, sponsors and the service providers.
    通過參加 ACEM 2021,您授權主辦方使用您的個人數據,用於處理註冊和與 ACEM 2021 相關的事宜。個人數據可能會提供給授權方,涉及人員、代理人、顧問、審計員、承包商、 贊助商和服務提供者。

F. CANCELLATION AND REFUND POLICY 取消和退款政策
  • If, for any reason, the Organizer, or any part thereof, is prevented from being held, or the Organizer venue becomes unavailable, the Organizer may cancel or postpone the Conference. In such event, the Organizer shall not be responsible for delays, damage, loss, increased costs, or other unfavourable conditions arising by virtue thereof, and participants waive all or any claims for loss, expense or damage against the Organizer arising there from.
    如主辦方因不可抗力因素或場地限制導致會議被迫終止,主辦方可取消或推遲會議。主辦方不會負責因相關情況而引至的延誤,損壞,損失及所增加的成本。主辦方不會作出任何索賠。
  • No cancellation is accepted once your registration is confirmed, however you may transfer your registration to a replacement delegate at NO extra charge latest by 31 October 2021. No transfer will be accepted after this date. The full name and details of the person who will replace you must be advised in writing to acem2021-reg@connexustravel.com prior to the meetings.
    一旦您的註冊得到確認,將不接受取消,但是您可在 2021 年 10 月 31 日之前將您的註冊轉移給其他代表。 此日期之後將不接受任何轉移。必須在限期之前將代表的全名和詳細信息以書面形式通知 acem2021-reg@connexustravel.com
  • No refunds will be made for no show at the conference.
    如參加者沒有參與會議,參加者將不獲退款。

H. HOTEL RESERVATION POLICY
  • All rates are on per room per night basis, inclusive of 10% service charge and free Wi-Fi.
  • Upon making the hotel reservation via the online registration system, full payment will be deducted from your credit card or should be arranged by bank transfer. A payment equivalent to 1 night per room is non-refundable for your hotel reservation.
  • For enquiry on pre/post stay/ other room request, please contact the Conference Secretariat at acem2021-reg@connexustravel.com. Extra nights payment must be settled with Connexus Travel on or before 30 April 2019. Failure to comply with final payment requirement would result in automatic cancellation of reservations.
  • No amendment and cancellation could be made after the reservation.
  • No refund for any no show booking.
  • Hotel room rates in US Dollar are for reference only. Payment will be transacted in Hong Kong Dollar.

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#An acknowledgement email will be received within 24 hours after the completion of registration.
確認電郵將於報名完成後24小時內發出。