Laser Therapy 2002
The 1st Saudi International Workshop
October 26 - 28, 2002, 20 - 22 Shaban 1423
Riyadh, Kingdom Of Saudi Arabia
.
.Registration Form

How To Use This Form:

PERSONAL DATA
Last Name 
Middle Name . First Name.
Specialty . Degrees 
Department 
Organization
Address 
Town/City  Province/State 
Country Zip Code 
Area Code Phone  . Mobile . FAX number 
E-Mail Address

Registration Fees:
Registered Professional
If registered BEFORE  August 31, 2002
AFTER August 31, 2002
Physician
100.00 
150.00
Resident/Fellow
80.00 
120.00
Others
75.00 
 100.00
On-site Registration (SR175.00)

When completed please fax, e-mail or Mail to:
MBC 03 (Bx 106) Laser Medicine Research Section, King Faisal Specialist Hospital and Research Centre, P.O. Box 3354, Riyadh 11211, Kingdom of Saudi Arabia
Tel.: +966 (1) 464 7272 (Ext. 32923), Fax 464 7272 (Ext. 32922) or 442 4743
E-mail: tiongco@kfshrc.edu.sa

NOTE:  Please make the check payable to:
King Faisal Specialist Hospital and Research Centre (Laser Research)
and fax e-mail this form with the payment.
 


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