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Registration Form


First Name

Last Name

 

Institution or Organization

Nationality

 

(M)

 

(H)

Telephone (O)

Email

Fax

Fees (please check the appropriate box)

(You must notify us in advance for the opening celebration dinner to ensure a place)

 

 

free

 

Opening celebration dinner (April 4th 2006)

 

       PREREG

SR 400

Symposium pre-registration*

(Before February 28th 2006)

       ONSITEREG

SR 500

 

Symposium On-Site registration

       PRESENT

SR 250

 

Symposium presenters

 

Registration fee includes breakfast, tea break and lunch

 

 

 

 

 

 

 

 

 

All payments must be made by bank drafts/checks payable to Prince Sultan University at account#2120844469940 

 

Please include name of bank from which the checks was drawn and check number:

Bank                                                           

Draft/Check No.                                             

 

PAYINCLUDED   Payment is included with this form.

PAYONSITE  Register now pay on site.

 

      *Confirmation number will be emailed to you upon receipt of bank draft.