2019 The 69th Korean pain Society

Online registration

1. Participant Information

*Country	※ Bangladesh, Cambodia, Indonesia, Laos, Mongolia, Myanmar, Nepal, Vietnam registration fee is "FREE".
Members of society	* Members of Japan Society of Pain Clinicians and Chinese Association for the Study of Pain signed MOU with KPS receive 50% registration fee discount only for pre-registration period. Japan Society of Pain Clinicians Pain Physician Branch of Chinese Medical Doctor Association
*Department	Dept. of Anesthesiology and Pain Medicine Except Dept. of Anesthesiology and Pain Medicine
*Category II	Regular Resident Army Doctor Public Health Doctor Research worker/Medical Student/Nurse
*Name	First* Middle Last *
*Title	Mr. Ms. Prof. Dr. Others
*Department		*Position
*Organization
*Address	Zip Code
*Tel		*Mobile
*E-mail
*Special Request	Vegetarian Muslim Kosher None Others
*Password	(*You need to modify the pre-registration.)

* Items marked with asterisk (*) must be completed.
※ Members of Japan Society of Pain Clinicians and Chinese Association for the Study of Pain signed MOU with KPS receive 50% registration fee discount only for pre-registration period.

2. Registration Fee

Date	Scientific Meeting (16^th. Nov) Training Conference (17^th. Nov)
Workshop (16^th. Nov)	Workshop I (Basic C-arm Techniques) Workshop II (Vertebral Augmentation) Workshop III (Epiduroscopy) Workshop IV (Image Workshop (Spine))
Workshop (17^th. Nov)	Workshop V (US Examination (Upper Extemity)) Workshop VI (US Examination (Lower Extemity)) Workshop Ⅶ (ESWT)
Gala Dinner	Attend Not Attend

3. Total amount

Scientific Meeting	USD	Training Conference	USD
Workshop I	USD	Workshop V	USD
Workshop II	USD	Workshop VI	USD
Workshop III	USD	Workshop Ⅶ	USD
Workshop IV	USD	Gala Dinner	USD
Total amount	USD

4. Payment Method (Bank Transfer Only)

Bank Name	Shinhan Bank	Account Number	140-012-267339
Swift Code	SHBKKRSE	Account Holder	Korean Pain Society
Payment Date		Name of Remitter

* All Bank charges for remittance must be paid by the registrant. Please note that the fee must be transferred under the registrant's name and must be stated on the receipt. For processing, please send the receipt to KPS 2019 Annual Meeting Secretariat by fax or e-mail.
* For more Information about cancellation and refund policy, please refer to the website (http://www.painfree.or.kr/abstract/2019_fall/eng/entry/intro.html).