Registration form:

Please print - fill – scan – send to

E- mail :- youssef662000@yahoo.com

E-mail :- bassam_gu@yahoo.com

Insert photo if possible

First name & surname: …………………………………..

Title: ……………………………………………………….....

Position: ………………………………………………….....

Tel: ………………….. fax:……………………………..

E-mail ………………………………………………………

۝ I am sending an abstract for oral or Poster presentation ( define )

۝ I am bringing …………….( insert no. of people )

               Accompanied person (s)

               Name (s)  …………………………………………..

                              …………………………………………..

                              …………………………………………..

۝ Company Registration ( 1 Rep/ 2 Reps)

                 In (€ ) by …………………………………………………

Total fees bank transfer: …………………………………..

Title of presentation: ……………………………………