The Third Global Chinese Ophthalmic Conference in conjunction with

The 11^th National Congress of Ophthalmology (CCOS)

第三届全球华人眼科学术大会暨

中华医学会第十一次眼科学术大会

August 30 – September 4, 2006  Beijing International Convention Center, China

2006年8月31日-9月4日   中国北京国际会议中心

Reply Form  回执表

_____ Prof. 教授  ____ Dr. 医生   _____ Mr. 先生   _____ Ms. 女士

Family Name, First Name  姓名：_________________________________

Hospital/Institute/Company 单位：_________________________________

______________________________________________________________

Department 科室：______________________________________________

Address 地址：_________________________________________________

Zip Code 邮编：________________________________________________

Tel 电话：______________________________________________________

Fax 传真（including country and city code 请写区号）：_____________________

Email 电子邮件：________________________________________________

Signature 签字：________________________________________________

Date 日期：________________________________________________

□ I wish to receive ___ copies of the second announcement

   请给我寄_____份会议二轮通知

□     I wish to participate in the trade exhibition or as a sponsor, please send me ____copies of the sponsorship and exhibition prospectus

我想赞助会议或购买展位，请给我寄______份招展集资手册

Please email, fax or mail this form to the Congress Secretariat at:

GCOC2006 Secretariat

International Department, Chinese Medical Association

42 Dongsi Xidajie, Beijing 100710, China

请将此回执表通过电子邮件、传真或邮寄发往：

北京东四西大街42号 中华医学会国际部 GCOC2006秘书处

邮编：100710

Tel 电话：+86 10 85158141

Fax 传真：+86 10 65123754 / 65244086

Email 电子邮件：gcoc2006@cma.org.cn

Website: www.goco2006.com

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