1st International Comprehensive
Pain Management Conference

 
Online Registration

Personal Information: * All fields Required

First Name    Family Name  
Nationality:   Email Address:  
Profession:   Place of Employment:  
Contact Phone:   P.O. Box:  
City:   Country  

Interest Area:

Please State your Area of Interests so we may contact you for next conferences and events:
Social Events participations:    

Conference Registration:

4Conference Fees

  Doctors Non-Doctors Doctors in Training (Residents)
Two Days Conference: 600 AED 400 AED 200 AED
One Day Conference 350 AED 250 AED 100 AED
  Do Not Preferred to Register    
       

4Workshops Fees

Post-Conference Workshop

Thursday: 29/10/2009    
   
Ultrasonography guidance in Peripheral Nerve Blocks and pain management:  750 AED
Cancer Pain and Palliative Care 200 AED
  Do Not Preferred to Register
   

Payment Method:

 

Your registration is not confirmed until you make a payment by check or money transfer to the below 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

Payment Details /Additional Information: Pain Conference 2009

 

 

Please!!! when you complete the payment forms, include your name,  and Pain Conference 2009 next to your name,

  e.g. Dr. James Gold //Pain Conference 2009

and fax the receipt to:

Fax: + 971 3 7072060
Your registration will be automatically cancelled unless you make a payment and fax the receipt to
Mr.Percival Peñaredonda
Fax: + 971 3 7072060
Email Addresses: percival@tawamhospital.ae

If you want to pay in cash personally, go to:  

Tawam Hospital ’s Academic Affairs Office
Polyclinic building, 2 nd floor
CME Coordinator: Hassan Hazime
Tel: 971 -3 - 7072111
Fax: 971 -3 - 7072379
Email: hhazime@tawamhospital.ae

 

       

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