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CONFERENCE PARTICIPATION FORM TO REGISTER TODAY PLEASE COMPLETE ALL SECTIONS OF THIS FORM AND FAX BACK IN: +2 (02) 22 56 66 53 or E-mail to: [email protected] Please keep a copy of the completed form for your records and please use black ink and block letters. Provide full name not initials PERSONAL INFORMATION Prof. Dr. Eng. Vet. Student Contact Name: …………………………………………………………………….…………………………… Title: ……………………………………………….…….. Position: ……………………….……. Address: …………………………………………………………………………………………………..……... Country: City : Postal Code: Tel.: + Fax: + Mobile: + E-mail Web site: Registration Fees: Early Registration Before 1 st April 2011 Late Registration 1st April 2011 Status Egyptians (L. E) Non Egyptians (Euro) Status Egyptians (L.E) Non Egyptians (Euro) With paper L.E 550 300 With paper L.E 625 350 Without paper L.E 400 200 Without paper L.E 450 250 Student L.E 200 150 Student L.E 250 200 Extra Requirements : Status For Egyptians For Non Egyptians Paper more than 12 pages L.E 10 per page 3 Printing photo color L.E 10 per photo 5 Lunch Box L.E 50 10 Galla Dinner L.E 200 30 PAYMENT TERMS Payment of registration fees is required prior to program attendance. Registration will be processed when payment is received via Bank transfer or cash. For all participants, all payment should be made on cash bases or a form of Swift Bank Transfer issued as following: Beneficiary Name : Tarek Essam Eldin Mohamed Abdel Hady Current account no : 179/210/1570 ( Euro ) - 179/120/00000/093 ( Dollar) - 179/001/0000/1881 ( L. E ) Swift code no : BMIXEGCX140 Bank Name : Banque Misr Branch name : Manshiyet El bakry Branch Bank Address: : 2 gesr el-Suez street .Ibn Sandar Square _ Manshiyet El bakry, Cairo, Egypt. Personal Banker : Mr. Ahmed Fares Bank Tel : 00 202 22568693 Bank Fax : 00 202 24547010 Bank Website : www.banquemisr.com Weekends : Friday and Saturday Keep in mind: - Bank charges taken in charge by the participant. - Payment of all items related to your participation must be in euro for non Egyptian - Payment of all items related to your participation must be settled by the due date. - Payment of all items related to your participation should be done through the organizer. CANCELLATION TERMS The participant, at any moment or for any reason, may cancel his/her participation in the conference by Addressing a registered mail to the Organizer, However you should keep in mind that In case of cancellation, The item fees are due as follows: - Before 120 days DUE 60 % of fees - Before 90 days DUE 50 % of fees - Before 60 days DUE 40 % of fees - Before 30 days DUE 0 % of fees Please be noted that your absence to attending the event due to any reason is not responsibility of the organizing company therefore you did not have the right to claim the registration fees after the event. Signature: …………… Date: ……………… The registration fees including: Entry to the conference and exhibition. It also includes welcome drink in opening ceremony in addition to the conference goody bag contains of (conference program and proceeding on CD and official certificate of attendance) also you will get daily coffee breaks and (combo lunch box ) one light meal only for participants with papers. The registration fees excluding: Printing color photo and extra pages more than 12 pages. For participants with paper if you want printing your photo in color please inform us and you will pay 10 L.E for each photo ( for Egyptians) and 5 Euro ( for foreigners)

CONFERENCE PARTICIPATION FORM...CONFERENCE PARTICIPATION FORM TO REGISTER TODAY PLEASE COMPLETE ALL SECTIONS OF THIS FORM AND FAX BACK IN: +2 (02) 22 56 66 53 or E-mail to:[email protected]

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Page 1: CONFERENCE PARTICIPATION FORM...CONFERENCE PARTICIPATION FORM TO REGISTER TODAY PLEASE COMPLETE ALL SECTIONS OF THIS FORM AND FAX BACK IN: +2 (02) 22 56 66 53 or E-mail to:fairs@massivegroup.org

CONFERENCE PARTICIPATION FORM TO REGISTER TODAY PLEASE COMPLETE ALL SECTIONS OF THIS FORM AND FAX BACK IN: +2 (02) 22 56 66 53 or E-mail to:[email protected] Please keep a copy of the completed form for your records and please use black ink and block letters. Provide full name not initials

PERSONAL INFORMATION Prof. Dr. Eng. Vet. Student Contact Name: …………………………………………………………………….…………………………… Title: ……………………………………………….…….. Position: ……………………….…….Address: …………………………………………………………………………………………………..……...Country: City : Postal Code:Tel.: + Fax: + Mobile: +E-mail Web site:

Registration Fees: Early Registration Before 1st April 2011 Late Registration 1st April 2011

StatusEgyptians (L. E)Non Egyptians(Euro)StatusEgyptians (L.E) Non Egyptians

(Euro) With paperL.E 550 300 €With paperL.E 625 350 € Without paperL.E 400 200 € Without paperL.E 450 250 €StudentL.E 200150 €StudentL.E 250200 €

Extra Requirements :StatusFor EgyptiansFor Non

EgyptiansPaper more than 12 pagesL.E 10 per page3 €Printing photo colorL.E 10 per photo5 €Lunch BoxL.E 5010 €Galla DinnerL.E 20030 €

PAYMENT TERMSPayment of registration fees is required prior to program attendance. Registration will be processed when payment is received via Bank transferor cash.For all participants, all payment should be made on cash bases or a form of Swift Bank Transfer issued as following:Beneficiary Name : Tarek Essam Eldin Mohamed Abdel Hady Current account no : 179/210/1570 ( Euro ) - 179/120/00000/093 ( Dollar) - 179/001/0000/1881 ( L. E )Swift code no : BMIXEGCX140 Bank Name : Banque Misr Branch name : Manshiyet El bakry Branch Bank Address: : 2 gesr el-Suez street .Ibn Sandar Square _ Manshiyet El bakry, Cairo, Egypt.Personal Banker : Mr. Ahmed FaresBank Tel : 00 202 22568693 Bank Fax : 00 202 24547010Bank Website : www.banquemisr.com Weekends : Friday and SaturdayKeep in mind:

-Bank charges taken in charge by the participant. - Payment of all items related to your participation must be in euro for nonEgyptian

- Payment of all items related to your participation must be settled by the due date. - Payment of all items related to your participation should be done through theorganizer.

CANCELLATION TERMSThe participant, at any moment or for any reason, may cancel his/her participation in the conference by Addressing a registered mail to the Organizer, Howeveryou should keep in mind that In case of cancellation, The item fees are due as follows:- Before 120 days DUE 60 % of fees - Before 90 days DUE 50 % of fees- Before 60 days DUE 40 % of fees - Before 30 days DUE 0 % of fees Please be noted that your absence to attending the event due to any reason is not responsibility of the organizing companytherefore you did not have the right to claim the registration fees after the event.

Signature: …………… Date: ………………

The registration fees including: Entry to the conference and exhibition. It also includeswelcome drink in opening ceremony in addition to the conference goody bag contains of(conference program and proceeding on CD and official certificate of attendance) also you willget daily coffee breaks and (combo lunch box ) one light meal only for participants withpapers.The registration fees excluding: Printing color photo and extra pages more than 12 pages.For participants with paper if you want printing your photo in color please inform us and youwill pay 10 L.E for each photo ( for Egyptians) and 5 Euro ( for foreigners)

Page 2: CONFERENCE PARTICIPATION FORM...CONFERENCE PARTICIPATION FORM TO REGISTER TODAY PLEASE COMPLETE ALL SECTIONS OF THIS FORM AND FAX BACK IN: +2 (02) 22 56 66 53 or E-mail to:fairs@massivegroup.org