5Th PAN Arab Osteoporosis Congress
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5th PAN Arab Osteoporosis Congress April 28-30, 2010 Four Seasons Hotel-Damascus, Syria
R e g i s t r a t i o n F o r m
Full Name......
Title ...... Specialty......
Institution...... Nationality......
Address......
......
Phone...... Fax......
Mobile...... E-mail......
Registration fees:
Syrian residents: 5000 Syrian Pounds Non-residents: 200 US$
Guest package which includes accommodation +breakfast, registration fees and Gala dinner: (Please tick your choice)
3 nights Four Seasons Hotel Package, April 27-30, 2010: US$ 1,400 2 nights Four Seasons Hotel Package, April 28-30, 2010: US$ 1,100 1 night Four Seasons Hotel Package April 29-30, 2010: US$ 800
3 nights Dedeman Hotel Package, April 27-30, 2010: US$ 1,100 2 nights Dedeman Hotel Package, April 28-30, 2010: US$ 900 1 night Dedeman Hotel Package April 29-30, 2010: US$ 700
Accompanying Person
Full Name:......
Prices for Accompanying Person inclusive of all taxes and service charges:
Gala Dinner: US$ 75 Sharing a double room with attendee per night, including breakfast: US$ 50 Airport Pick-up in the same car with registered attendee: US$ 25
5th PAN Arab Osteoporosis Congress April 28-30, 2010 Four Seasons Hotel-Damascus, Syria
Total amount to be paid in US$ ......
Payment should be made by credit card.
•Type of credit card:......
•Credit card number:......
•Expiration date:......
•Name as it appears on the credit card: ......
This form should be fully filled and e-mailed to: [email protected]
N.B: Accommodation requests must be sent before March 30th 2010, after which date we can no longer guarantee accommodation.
• All registrations are based on first come - first served basis. • No registration will be handled without the registration form duly completed • The hotels listed above will not accept direct reservations at the special congress rates.