REGISTRATION FORM

Name :

Address :

Telephone :

Fax :

Email :

I wish to ( tick appropriate ) :

Attend the MASO 2009 Scientific Conference on Obesity

Attend the MASO 2009 Dinner Lecture (limited to first 100 pax)

Make a presentation entitled

Registration fee *

Will send Cheque/Money Order/Postal Order for RM : Cheque No.

Paid by Cash RM :

Government LPO / guarantee letter from Dept Heads

Abstract of Paper

Email to Scientific Committee Chair Email

Shall submit before 30 June 2009

Not applicable

(All participants, including oral / poster presenters, must register for the conference and pay the appropriate fees. Cheques / money orders / postal orders should be made payable to the "Malaysian Association For the Study of Obesity". Outstation Cheques should include required bank charges)

For Early Bird Registration, fees MUST be received before dateline: 15 July 2009.

* Please mail your Cheques / LPO / guarantee letter from Department Heads together with printout of this online registration to

Prof Dr Mohd Ismail Noor President, MASO c/o Department of Nutrition & Dietetics Faculty of Allied Health Sciences Universiti Kebangsaan Malaysia 54300 Kuala Lumpur Fax: 03-2694 1296 Email: mismail@medic.ukm.my	Or	Assoc Prof Dr Norimah A Karim Hon. Secretary, MASO c/o Department of Nutrition & Dietetics Faculty of Allied Health Sciences Universiti Kebangsaan Malaysia 54300 Kuala Lumpur Tel: 03-9289 7247 Email: nak@medic.ukm.my
**Please print BEFORE clicking "Submit"