Hakuba Registration Form
28th January 2018 - 3rd February 2018
Enrolment numbers are limited so we advise that your travel and accommodation arrangements should not be booked before you receive confirmation of your registration from the conference secretariat. Registration and extra tickets must be paid in full before you commence your accommodation bookings.
There are three payment options
2. Electronic Funds Transfer
To be made payable to ‘Medicine with Altitude’ and sent to the address below as soon as you submit this form:
Medicine with Altitude
665 Moobi Road
SCONE NSW 2337 AUSTRALIA.
Electronic Funds Transfer
To be transferred as soon as you submit this form.
Medicine with Altitude Bank details:
Commonwealth Bank of Australia
A/C: 1010 7400
(with your reference: Haku & your last name & first initial of first name)
Follow instructions after you submit this form.