Registeration Form:

The Third International Conference of the

Egyptian Association of Oral & Maxillofacial Surgeons

29 September – 1 October 2004

 REGISTRATION  FORM
to download .pdf

(To be completed in block capitals)

  

Title: 

First Name: 

Family Name: 

Speciality: 

Institution: 

E-Mail: 

Telephone Number: 

Fax Number: 

Name to appear in certificate: 

Address for correspondence: 

Number of accompanying  persons: 

Their names: 

Any special dietary   requirements (e.g.  vegetarian): 

REGISTRATION  FEE    
 

$ 300 for participant, including admission to scientific sessions, hands-on workshops, entry to trade exhibit, attending the opening ceremony, refreshments, Cairo Nile cruise (dinner and live entertainment), Gala dinner, conference bag and certificate of attendance.

 $ 100 for accompanying person, including admission to opening ceremony, entry to trade exhibit, refreshments, Cairo Nile cruise (dinner and live entertainment), Gala dinner.

  

Accommodation at Cairo Marriott Hotel

    
  $ 160*  Single occupancy/night (half board) x No. of Nights  
  $ 200*  Double occupancy/night (half board) x No. of Nights  

Accommodation at Santana Hotel***
  $ 60*  Single occupancy/night (half board) x No. of Nights  
  $ 80*  Double occupancy/night (half board) x No. of Nights  
     
 

Payment for registration and hotel accommodation is by bank cheque payable to:

"Egyptian Association of Oral & Maxillofacial Surgeons"

28 Abdelazim Rashed Street, Agouza, Giza, Egypt, 12311

E-mail: eaoms@eaoms.org

www.eaoms.org

  
     

 

 

 
 
 
 
   
 

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