Registration Form | Event Consultant

Please transfer the payment to:

Bank Name: Islamic Bank Branch: Swaifieh (27)

Account Name: Khraishi and Naser (Al Mustashar for Conferences)

Account Number: JOD: 0115800410400005

IBAN Number: JO 74 JIBA 0270 0001 1580 0410 4000 05

SWIFT Code: JIBAJOAMXXX

Bank Address: Tel: 06-582 90 83

Events consultant company (Amman-Jordan)

Tel: +962 6 581 9003 Fax: +962 6 581 9003 Cellular: +962 79 9602002 / +962 79 5126916

E-mail: admin@eventscons.com www.eventscons.com

Registration Form

4^th -5^th April. 2019 landmark Amman Hotel Amman-Jordan

Full Name:

First

Middle

Family

Title:

Specialty:

Institution:

Nationality:

Address:

Phone:

Cellular:

Registration fees:

Jordanian Nutritionist/ Dietitian/ Physician/Pharmacist:
Registration JOD 120

Jordanian MD:Registration JOD 150

Jordanian - Student:Registration JOD 75

Non- Jordanian Nutritionist/ Dietitian/ Physician/Pharmacist:Registration JOD 150

Non- Jordanian MD:Registration JOD 200

Non- Jordanian Student:Registration JOD 100

The Registration fees include: Access to the opening ceremony, the scientific sessions, lunches, coffee breaks and congress bag which includes a certificate of attendance, and abstracts book with final program.

Total amount to be paid in JOD:

Please upload a copy of Bank Transfer recite