WINFOCUS Advance Ultrasound Enhance Life Support with soft cadaver vascular access workshop 15-16th August 2012

Surgical Soft cadaver training center, King Chlulalongkorn Memorial Hospital Bangkok Thailand
Applicant Information Name: Last Name: Current Workplace: Town: County: Postal Code: Phone: E-mail: Fax: Position: Registration Fee (Please check on the conference you would like to attend.) WINFOCUS Advance Ultrasound Enhance Life Support with soft cadaver vascular access workshop Objective : Learn How to diagnosed and manage patient with shock, dyspnea, cardiac arrest, trauma by non invasive and invasive(vascular access) ultrasound guided management Who should attend this course Emergency Room Doctor, Intensivist, Emergency Physician, Ambulance doctor, Air transport doctor, Internist, Physician who take care critical ill patient in remote area, Pulmonologist, General Practice Registration Fee (Please check on the conference you would like to attend Early Bird(Before 30 June ) Pre Registration Course : WINFOCUS Residents 6,000 THB 6,500 THB Advance Ultrasound Enhance Life Support with Physician 6,500 THB 7,000 THB soft cadaver vascular access workshop

Method of Payment Date of transfer

Bank Transfer

Paypal

Payable to: Emergency Unit, Outpatient department King Chulalongkorn Memorial Hospital Account : 0455230014 Bank: Siam Commercial Bank Public Company Limited (SCB) Bank Address: 1873 Praram 4 Road Pathumwan, Pathumwan Bangkok 10330 Swift Code: SICOTHBK Please state the amount of transfer that you paid Please scan your payment method and send to emchula@gmail.com

scan slip atm email 02 256 5009 winfocus

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