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Registration
   


 

For printable format of the Registration Form Click Here

Prefix *

Prof Dr.Mr.Ms.

Name *

Specialization
Institution *
Mailing Address *

City *
Country
Pin/Zip Code
Tel. Home
Tel. Office
Fax 
E-mail *

To complete your registration process you need to pay.
Registration fees can be made
DD

 
Category Until July 1, 2002 After July 1, 2002

Select No. of Persons

Member US$ 250 US$ 300

Non-Member US$ 300 US$ 350
Accompanying Person US$ 150 US$ 200
Nurse/Tech./Resident US$ 125 US$ 150

Pre-Congress Institutional Course
 
Category Until July 1, 2002 After July 1, 2002

Select No. of Persons

Physician US$ 60 US$ 75

Nurse/Tech/Resident US$ 30 US$ 40