Registration Form

July 30th, 2009 Posted 9:10 AM +0200 by RM Solutions

More Information About Registration Fees, Hotel Accommodations and Tours:

I. Personal Information

Title: *

Frist Name: *

Middle Name: *

Family Name: *

Gender: *

Nationality: *

Faculty / Institute / Hospital: *

Department: *

Telephone: *

Fax Number:

Cellular: *

E-mail Address: *

Country: *

City: *

Mailing Address: *

II. Registration Type

Type: *

Child Accompanying: *

Yes

III.Gala Dinner

Individual Tickets to the Gala Dinner are being sold at 110/US dollars per person

Number of people attending: x 110/US Dollars

IV.Hotel Accommodations

Please refer to the list of hotels with rates:

I wish to book a room:

Single

Double

Full board + Sightseeing

Arrival Date:

Departure Date:

Choice of Hotel

1st Choice:

2nd Choice:

3rd Choice:

V.Payment

Registration Fees: Total $

Gala Dinner: Total $

Hotel Accommodations: Total $

Cairo & Alexandria tours: Total $

TOTAL EXPENSES: $

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Registration Form

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