Register

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Welcome to the registration page for GynBethlehem 2012! The process is divided into two steps.

  1. Complete the form underneath with your personal details.
  2. Once completed step 1, you’ll be asked to perform payment. This is done manually by bank transfer, direct payment(locals only), information needed will appear at the next page.

Fees:

International Local resident
Congress fee 300 USD 100 USD (*)
Hotel accommodation fee
– single room
– double room
 
115 USD pr/night
145 USD pr/night
Incl.in congress fee
Food prices
– breakfast
– lunch
– dinner
 
Incl. in hotel fee
30 USD pr/night
25 USD pr/night
Incl.in congress fee

Note! Deadline for registration is 14th February 2012
(*) This fee covers congress fee, all meals and hotel accommodation. Please note that fee is individual and do not cover any family expenditures.

If you have any concerns, please don’t hesitate contacting us.

Personal details (Step 1)

Resident

Title

Your Name

Your Email

Telephone (incl. country code)

Hospital/Institution/Organisation

Department

Hotel

Arrival date in Bethlehem(dd/mm/yy)

Number of nights(starting from 14th - 16th):

Meals

13th March Meals: Dinner
14th March Meals: BreakfastLunchDinner
15th March Meals: BreakfastLunchDinner
16th March Meals: BreakfastLunch

Plane tickets(*)

Need of transportation to from Airport? (*)

Other request

Security check
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Please write down the letters you see in the box

(*) Arranged by Aweidah Tours, additional fees will be charged.

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