Celebrating The Legacy of His Royal Highness Prince Mahidol of Songkla: A Century of Progress in Public Health and Medicine in Thailand

REGISTRATION FORM

Deadline to register: July 16th, 2018 if you need the hotel rooms. submit to: ktbf@thailink.com

Registration Requirement per person: minimum tax-deductible contribution of $500 ;Boston only: $300; New Hampshire only: $300; Note: If you do not need a hotel room, the registration will be accepted through August 10th, 2018.
Sponsorship level:
$10,000 & more - Diamond
$5,000 & more- Platinum
$1,000 & more - Gold
$500 & more - Silver
$300 & more - Partner

Paid by checkpayable to KTBF, Electronic Transfer or Paypal: ktbf@thailink.com