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CONFERENCE ON-LINE REGISTRAION

Early Registration -- Before 22 April, 2009
SDS members	800 SR
Non- SDS member	1000 SR
Students	500 SR
On-Site Registration
SDS members	1000 SR
Non- SDS member	1200 SR
Students	600 SR

Please fill out the registration form accurately!
Personal Information
First Name:
Middle Initial
Last Name:
Contact Information
Email Address:
Mobile Phone:	Kindly use international format e.g.( 966505656067 )
Work Information
Institution:
Position:
Specialization:
Address Information
City:
Country

For registration, and further information, please contact:
Mrs.Huda Faour – Tel # 02-6677777 Ext.# 7660 -- hfaour07@yahoo.com
Ms.Riole ext:5073 - Fax ext: 5072 -- riolem@hotmail.com
CME Office:Tel # 02-6677777 Ext 8898- Fax: 667 7777 Ext: 5035 -- jcme@kfshrc.edu.sa

For bank deposit: Al Rajhi Bank:
(must fax us a copy of the deposit slip 02-6677777- ext:5072), and please should write as follows:
King Faisal Specialist Hospital&RC (Gen Org) Jeddah, 4th Esthetic Conference-2009
Account NO.3586080100- 3309/8 CODE # RJHISARI

(( The Department is not responsible for bank transfers wrongly addressed. ))