EMRA Conference Registration Form

A 3D Journey for Every Dentist

November 24-27th, 2022

Name

First Name

Last Name

Email

Mobile number

Title / Profession

Institution / Affiliation / Organization

I am registering for the conference

(Conference Registration is required to register for any workshop) Early bird registration ends on August 15th, 2022

as an Egyptian (1000 EGP)

other nationality (150 USD)

Would you like a Lunch Voucher for the duration of the conference? (Nov 25-26) ?

A limited number of Lunch Vouchers is available for an extra fee of 400 EGP /day.

Yes (I understand that I will pay an extra 800 EGP)

No, I don't need any lunch vouchers.

I would like to register for the following PRE-congress workshops:

CBCT Extragnathic Anatomy Workshop. Prof.Dr. Dania Tamimi Thurs, Nov. 24th. 11:00 am-2:00 pm (800 EGP)

CBCT in Endodontics: Manipulating, reading, interpreting and diagnosing endodontic cases. Prof. Dr. Marcel Noujeim Thurs, Nov. 24th. 3:00-6:00 pm (1100 EGP)

I will be attending the conference

on site

remotely (online)

IMPORTANT INFORMATION

1. Registration is not confirmed until payment is received.

2. Payment is accepted through money transfers. Please send a copy of your bank validated deposit slip to (info@EMRAeg.org) or (+201091118098)

3. For your convenience, we also accept payments through Vodafone Cash (01091118098).

4. To confirm your registration, all transaction receipts MUST be sent to whats app +201091118098 or via mail (info@EMRAeg.org).

N.B. Payment in cash can be arranged through a correspondent in selected areas/countries. Kindly email us (info@EMRAeg.org) or contact us on Whataspp (+201091118098 / +201000726088 ) to provide you with details.