Tel. / Fax. (781) 365-0083 | KTBF - 15 Given Dr. Burlington, MA 01803

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: June 1st, 2018 submit to: ktbf@thailink.com, to take advantage of $179 room rate, submit by May 1st.

Registration Requirement : minimum tax-deductible contribution of $500 covering 8 meals and 5 trips transportation:
Boston only: $300; New Hampshire only: $300: Seats up to the Summit are very limited, first come first serve.
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

 

 
        © Copyright 2003. KTBF - 15 Given Dr. Burlington, MA 01803 Tel./Fax. (781) 365-0083 Email: ktbf@thailink.com