Registration Form

How To Use This Form:

PERSONAL DATA
Last Name 
Middle Name  First Name 
Department 
Organization
Address 
Town/City  Province/State 
Country   Code 
Telephone number  FAX number 
E-Mail Address

Registration Fees: Registration Fees Include:
Active Participant:

Early Registration (Before August 1st = $255)
Late Registration (After August 1st = $305)

  1. Access To Scientific Sessions
  2. Opening Ceremony
  3. Shuttle Service:

  4. Hotel - Congress Venue- Hotel
  5. Coffee Breaks
  6. Lunches
  7. Congress bag
  8. Gala Dinner

Payment:
Can be made by bank transfer to the following (Registration by credit cards are not accepted):
CONGRESS ORGANIZERS
TRUST AND TRADERS
TRADING AND SERVICES
Ashrafieh
St. Georges Hospital St.
Bassil Bldg.
Beirut, Lebanon
Tel/Fax: (961 1) 445 421, 565 871
Cell: (961 3) 882 301
BYBLOS BANK GETAWI
P.A.N.S III CONGRESS
SWIFT: BYBA LB BX
A/C no: 11-02-252-123064-0-8
Prof. Antoine Nachanakian
Cleveland Clinic, Affiliate Physician (USA)
Head Division of Neurosurgery
St. Georges Hospital
P.O. Box 166378
Beirut, Lebanon
Tel: (961 1) 560 052
Fax: (961 1) 582 560


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