Chinese Member Registration Form

Email*

Name*

Middle or initial name

Last name*

Country*

Profession*

Company/Organization's name*

Membership Organization*

Please provide evidence of membership in good standing with the Organization

Provide evidence of membership with GCEA, AAMI, CMD. Evidence accepted includes a copy of the membership card, an official letter, or a screenshot from the organization's website.

I agree to be photographed during the Congress*