ATTENDEE Registration Form
2017 NAPSS-Ubud, Bali, INDONESIA
October 21-22, 2017
Sens Hotel & Spa, Ubud, Bali
Thank you for registering to be an attendee at the NAPSS Bali Sleep Conference!
Please complete and submit this form to attend the 2017 Network of Asia-Pacific Sleep Specialists (NAPSS) Conference for physicians, sleep technologists
and health care professionals.
October 21-22, 2017 at the Sens Hotel & Spa, Conference Ubud Towne Center, Jalan Sukma Banjar Tebesaya Peliatan, POB 2828, Ubud 80571 Gianyar, Bali.
If you have any questions about Attendee Registration, please send
Address and Phone
Company/Medical Facility (Your place of employment)
Your Mailing Address (please include city, state, and postal code)
Phone Number (Non-USA, please include country code)
BRPT # (if applicable)
Registration/Payment of Fees
$125.00 if paid before October 6, 2017 by Cash, Western Union or Cashier's Cheque
$150.00 if paid after October 6, 2017 by Cash, Western Union or Cashier's Cheque
$140.00 if paid before October 6, 2017 by Wire Transfer to First Hawaiian Bank: Acct #05-131235, SWIFT CODE: FHBKUS77
$165.00 if paid after October 6, 2017 by Wire Transfer to First Hawaiian Bank: Acct #05-131235, SWIFT CODE: FHBKUS77
Western Union Instructions:
You can pay online if you have a credit card:
1, Go to:
2. Select the United States.
You must send to NAPSS the
MTC number (MTCN)
after you wire he funds.
3. Obtain the tracking number (MTCN) that is the unique reference number assigned to your money transfer. (You may also hear this referred to as the Money Transfer Control Number.)
4. Send email to
to notify NAPSS that you have sent funds via Western Union. Provide the tracking number (MTCN) assigned to your money transfer. NAPSS needs this number when they pick up their money at an agent location. You"ll need the MTCN to track your money transfer online or via the Customer Support Center.
5. NAPSS will confirm your registration after the Western Union funds have been received.
Early Bird PAYPAL Registration (before 6 Oct 2017)
Late Registration PAYPAL (after 6 October 2017)
Transfer funds to account:
Network of Asia-Pacific Sleep Specialists at
First Hawaiian Bank
Routing Number: 121301015
Account Number: 05-131235
SWIFT CODE: FHBKUS77
NAPSS Tax Identification Number: 46-1470455
Mahalo for Registering! Do you have any questions?
This registration will be electronically submitted to NAPSS after you click the [Proceed to Checkout] button below. The PayPal window will pop up if you indicated that you would be paying by PayPal.
If you have questions, please send email to
. Thank you!
Proceed to Checkout
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