CONFERENCE REGISTRATION
 
 

Mr/Mrs/Ms/Dr

Name

Surname
*
 
*
 
*
 
Company Job Title Department / Hospital

Postal Address Country

Office Telephone Residence Telephone Mobile Telephone

Fax Email  

   
 
  PAYMENT
 
     
Registration Fees 10 KD
* Please note that full payment must be received prior to the event. Only delegates whose fees have been paid in full will be admitted to the event. The above price are for both 2 days - there is no fees structure for attending single days/programmes.
Cash will be accepted at the time of registration on site.