Registration

Online Registration

Title

Pr. Dr.

Quality :

M. Mrs. Ms.

First name :

Lastname :

Speciality :

Institution :

Departement :

Adress:

Zip code :

City :

Country :

Fax :

Email :

	From 01/08/2009 Until 31/01/2010	From 01/02/2010
Senior	200 €	250 €
Trainees *	120 €	150 €
One Day Registration	80 €	100 €
Orthopedic Session **	50 €	70 €
Accompanying Persons	100 €	100 €

Bank cheque to the order of Tunisian association of Paediatric Surgery:
Please send cheque to : Association Tunisienne de Chirurgie Pédiatrique
Note : Upon receipt of payment, an email confirming your registration will be sent to you.

On site : You have opportunity to pay in cash

Bank transfer to the account of the Tunisian Association of Paediatric Surgery:
Bank name: Arab Tunisian Bank
IBAN code: TN5901008037111256654666
Swift Code : ATBKTNTT
Note : Upon receipt of payment, an email confirming your registration will be sent to you.

Or registration form (to fill and send by fax): CLICK HERE

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