HIMSS AsiaPac19
07 - 10 October 2019
Centara Grand & Bangkok Convention Centre

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Create Your HIMSS AsiaPac 2019 Password

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HIMSS AsiaPac 2019 Password

Prefix (Mr, Mrs, etc)

First Name / Given Name

Last Name / Surname

Job Title

Company/Organization/Institution

Work Telephone

Address Line 1

Address Line 2

Town/City

State/Province

Country

Zip (Postal Code)

Dietary Preference

Address Type

Professional Degree/ Credentials

CPHIMS

FHIMSS

FCHIME

NP/PA

PhD

RPh

Other

Enter your Professional Degree/ Credentials if not listed above

Do you want us to update your information in the HIMSS database with the above contact details?

Professional Title

If Other, Enter your Professional Title

Worksite

If Other, Enter your Worksite

Do you have any dietary requirements?

Enter your Dietary Requirement if not listed above

All Non Member providers are eligible for a complimentary HIMSS membership with the purchase of conference. Do you want the complimentary HIMSS membership?

NonMember Providers may be eligible for a one year complimentary membership to HIMSS. HIMSS reserves the right to determine eligibility for complimentary membership. If yes, your membership will be activated after the conference.

Do You Want to Receive Invitations from Exhibitors and Sponsors to Attend Networking Events and Business Opportunities?

Do You Want to Receive Promotional Materials from HIMSS (not related to AsiaPac19)?

As part of General Data Protection Regulation compliance for the HIMSS AsiaPac19 Conference, please select the appropriate answer

If you are registering on behalf of the registrant, please enter your full name. Enter NA or Not Applicable if you are the registrant.

By answering yes, I have read and agree to the policies stated on this link

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