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Registration Form
Your Contact Details
Surname
First Name
Institute
Position
Address
Post Code
Email
Telephone
Fax
   
Registration Fees
  Fee
Participant $ 110
Accompanying Person $ 100
Nurses & Paramedics $ 50
Medical Student, Student nurses and Physiotherapy students $ 50
   
Payment
Registrations will be confirmed only upon receipt of registration fees.

Payment can be made either by bank transfer, cheque or credit card. Please select your preferred option below and follow the instructions stated under Important Notes.
Bank Transfer Payment

Bank Transfers must be made
to the following account
Bank: National Bank of Bahrain
Account Name: Bahrain Medical Society
Account No.: 089005988
Swift Code: NBOBBHBM

Important notes:
(1) Bank transmission charges of USD 25 must be added to the overall due amount
(2) Please fax a copy of your bank transfer along with this form
Cheque Payment
Cheques in US Dollar must
be made in favour of:
Bahrain Medical Society
Attention of:
CGNS Secretariat
Tel : +973 17289383
Mobile : +973 39692258
Fax: +973 17692255,
+973 17289372
Address: P.O.Box 30224,
Kingdom of Bahrain 		Important notes:
(1) Please fax a copy of your cheque along with this form
(2) Please note that cheque payments will not be accepted for on site registrations
(3) Fax: +973 17692255, +973 17289372
Credit Card Payment
(please note that a 3% surcharge will be applicable for credit card payments)
Visa    MasterCard
Card Number:
Cardholder Name:
Cardholder date of birth:
Cardholder Mailing address:
Cardholder Contact number
Amount to be charged: $
Card Expiry Date:
The cardholder will honor this transaction and not hold  Bahrain Medical Society responsible if the Credit Card account number has been compromised
Important notes:
(1) Please fax this form if you want to pay by credit card with your credit card details
(2) CGNS Secretariat
Tel: +973 17289383
Mobile: +973 39692258
Fax: +973 17692255, +973 17289372
(3) Credit Card charges will be recorded in your bank statement under the name of CGNS
 
Cancellation Policy
Registration Fees are not refundable once paid
   
For further assistance please contact:
Email: g_ns_s@Yahoo.com
Web site: http://www.moh.gov.bh/CGNS

We look forward to welcoming you at
The First Congress of the Gulf Neurosurgical Society December 11 - 13, 2007
 
 


The First Congress of the Gulf Neurosurgical Society