12th ARAB MEDLAB
3rd Conference of Clinical Laboratory in Lebanon
Registration Form
Personal Information
Family Name
First Name
Institute/Hospital
Department
Mailing Address
Postal Code
City
Country
Phone
Fax
e.mail
Accompanying person(s)
Family Name
First Name
Family Name
First Name
Registration Fees before July 31 after August 1
Basic package
(Conference suitcase + Attendance certificate)		 50 $ 60 $
Standard package
(Basic + 2 lunch tickets)		 110 $ 135 $
Exclusive package
(Standard package + 1 Gala dinner ticket)		 170 $ 220 $
Gala dinner ticket/accompanying person 60 $ 75 $
Places for lunches and gala dinner are limited.
The organizing committee apologizes for any possible inconvenience.
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Security Code:
Payment

Bank Transfer

Lebanese Canadian bank-Raouché branch Beirut – Lebanon

Swift code: LECALBBE, Syndicat des Biologistes du Liban,Account number: 233/430330
To confirm your registration, please send a copy of your bank transfer

The registration fees do not include bank transfer charges.