International Academy of Pathology

Arab Division


Excellence is our Priority   







The 23rd Congress of the Arab Division International Academy of Pathology
29 November – 3 December, 2011 – American University of Beirut

   REGISTRATION & RESERVATION FORM

Kindly fill in this form, and mail or send it by fax to INFOMED INT’L FOR EVENTS
Phone: 961-1-510881-2-3, Fax: 961-1-482116, E-mail:
infomed@infomedweb.com, online submission: www.infomedweb.com

IDENTIFICATION:
Family Name: _____________________ First Name: _____________________
Specialty: ____________________ Hospital or Institute: ___________________
Address: ________________________________________________________
City_____________________Country:_____________________
Phone:_____________________ Fax:_____________________
E-mail:_____________________
ACCOMPAYING PERSON (S) : Family Name First Name Child
1-
2-. 

  REGISTRATION FEES:

Category I: All Doctors
For the Congress: Early Registration before November 1, 2011 225 US $
Late Registration after November 1, 2011 275 US $
For the Workshop: Early Registration before November 1, 2011 100 US $
Late Registration after November 1, 2011 150 US $
For Congress & Workshop: Early Registration before November 1, 2011 300 US $
Late Registration after November 1, 2011 375 US $
(Fees subject to 10% VAT) 


Category II: Residents and students on submission of written evidence

For the Congress 100 US $
For the Workshop 100 US $
(Fees subject to 10% VAT)

Fee includes:
Entry to all scientific sessions
Congress bags with final program
Access to Exhibition Area and poster areas
Certificate of attendance immediately at the conclusion of the meeting on site ONLY
Lunches
Coffee Breaks
Opening Ceremony and welcome reception

ACCOMMODATION
Date of Arrival: _______________ Time: _________________
Date of Departure: _____________ Time: _________________
Flight number: _________________

Transfer with Meet & Assist and drop off: 66 US $ / per person nbr of persons:___ Total:___

HOTEL

Category&
Location

Room Type

Rate SGL

No of Nights

RATE DBL/TWN

No of Nights

Total

Le Bristol

5*10 min walking distance

Standard

$ 130

$ 160

$

Crown Plaza

5*10 min walking distance

Standard

$ 145

$ 165

$

Gefinor

4 * 2 min walking distance

Standard
Rotana club

$ 160
$ 200

$ 180
$ 220

$

Golden Tulip

4*

Deluxe

$ 120

$ 140

$

May Flower

3*10 min
walking distance

Standard

$ 90

$ 110

$

Cavalier

3*10 min
walking distance

Standard

$ 105

$ 110

$




* Rates are on Bed & Breakfast bases per night, subject to 10 % VAT.


GRAND TOTAL:
Mode of Payment:
Bank Transfer:
Account name : Infomed International for Events S.A.R.L
Bank Name :Bank Beirut Bank
Address : Horch Tabet Branch
*USD A/C: 11-401-442760-00
IBAN # LB89 0075 0000 0001 1401 4427 6000
Chips UID: CH 015040 SWIFT related to Bank of Beirut S.A.L is: BABELBBE