Registration & Fees
Personal Information: * All fields Required
Title:
Mr.
Ms.
Mrs.
Dr.
Prof.
Employee ID:
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Doctor
Nurse
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Delegates from Tawam Hospital / Al Ain City
All Other External Delegates – UAE / Other Countries
Conference Registration:
4
Conference Fees
Categories
Fees per person
One Day Conference only
800 Dhs for the first 150 seat / 1000 Dhs after exceeding the limit.
Two Days Conference only
1300 Dhs for the first 150 seat / 1600 Dhs after exceeding the limit.
Group discount
The group should not be less that 10 people
Workshops fees after group discount will be 500 Dhs.
1 Day Conference fees after group discount will be 500 Dhs.
2 days conference fees after group discount will be 1000 Dhs.
Please choose the category for your registration:
Choose Conference
Day One Conference on Tue 20 Sep 2011
Day Two Conference on Wed 21 Sep 2011
Two Days Conference
4
Workshops Fees
Parallel Workshops on Sept 22, 2011
900 Dhs for the first 100 seat/1100 Dhs after exceeding the limit.
Choose a Workshop
Hands On Live Ultrasound Guided RA And Pain Procedures
Cancer Pain And Palliative Cares
Hands On Interventional Pain Procedure Simulations Under X- Ray
Payment Method:
1) Check or Money Transfer
To Register make a payment to below bank account
:
Bank Name:
ADCB
Account No. :
513162020009
Account Name:
Seha B.E.4 Tawam Hospital A/C #3
Bank Address:
Al Ain, Abu Dhabi.
Swift Code:
ADCBAEAA
Conferenace Name:
Pain Managment Conference 2011
Your Name :
eg. Dr. James Gold
To confirm your registration send the receipt by Fax or Email to:
Diane Chetty / Majida Kabariti - Academic Affairs
Tawam Hospital, Al Ain, UAE
Tel: +971-3-7072957
Fax: +971-3-7072060
Email:
nurseducomm@tawamhospital.ae
>
2) Cash Payment
You may pay in cash to:
Tawam Hospital ’s Cashier office - Main Building \ Administration Building.
To register make the payment and send the receipt by Fax or Email to:
Hassan Hazime - Academic Affairs
Tel: 971 -3 - 7072111
Fax: 971 -3 - 7072379
Email:
hhazime@tawamhospital.ae
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