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REGISTRATION FORM
14TH WORLD CONGRESS OF
THE INTERNATIONAL SOCIETY FOR LASER SURGERY AND MEDICINE
27TH -30TH AUGUST, 2001 CHENNAI (MADRAS), INDIA
Please return this form to the Congress Secretariat
Please tick any:
REGISTRATION FEES
| Category |
Until
March 31,
2001 |
After
April 1,
2001 |
No. of
Persons
|
Total
|
| Member |
US$ 400 |
US$ 500 |
|
|
| Non-Member |
US$ 500 |
US$ 600 |
|
|
| Nurse/Tech./Resident* |
US$ 100 |
US$ 150 |
|
|
| Accompanying Person |
US$ 100 |
US$ 150 |
|
|
| Daily Registration |
US$ 100 |
On spot |
|
|
Fees includes 3 days of Congress Lunches, Tea, Opening Ceremony, Welcome Cocktail,
Indian Cultural Nite and entry to exhibition area (bankers charges will be separate).
* A certificate of Training from Institution Head or Department
Head is required.
MODE OF PAYMENT
Registration form should be accompanied by:
CREDIT CARD (VISA/MASTER)
| Name : |
|
| Number : |
|
| Date of Expiry : |
|
|
Signature
as in the Card
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BANK TRANSFER : Swift Code : HSBC IN BB - A/c No. 041-152786-006, A/c NAME : DR. B.
KRISHNA RAU ISLSM 2001.
DEMAND DRAFT : In favour of "Dr. B. KRISHNA RAU ISLSM 2001" Chennai.
CANCELLATION : On or before 1st June, 2001 will receive the registration fees after
deducting handling charges of US$ 50. No refund thereafter.
Website :
www.medindia.net/islsm2001
Online Registration, Hotel Accommodation
PROF. B. KRISHNA RAU
President - International Society for Laser Surgery and Medicine
5, Chandra Bagh Avenue, II Street, Mylapore, Chennai - 600004, INDIA
Tel: 91-44-8527776, 8594804 Fax : 91-44-8594578 / 4767008
E-Mail :[email protected]
Website :
www.medindia.net/islsm2001
Online Registration, Hotel Accommodation
Abstract Presentation and Payment can be done.
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