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Registration Form


Register me for *
Facilities Design, Upgrade and Expansion
Pharma & Biotech Opportunities in Emerging Markets
Pharma & Biotech Marketing
Clinical Trials Congress
Pharmaceutical Registration Seminar
Current Trends in Pharmaceuticals and Biotechnology
Title *
First Name *
Surname *
Institution/Organization *
Job Ttile *
Department
Address *
Post Code
City *
Country *
Phone Number (Work) *
Mobile
Fax Number
Email Address *
Email Preference
Comments
Payment Method* by Credit Card
by Company Cheque
by Bank Transfer
by Bank Draft
Cash
A confirmation letter and invoice will be sent upon receipt of your registration. Please note that full payment must be received prior to the event. Only those delegates whose fees have been paid in full will be admitted to the event.

Payment by company cheques or bankers draft must be in UAE Dirhams or US Dollars. Please note that all US cheques and bankers drafts should be drawn on a New York bank and an extra amount of US$6 per payment should be added to cover bank clearing charges.
All payments should be in favour of IIR Holdings Ltd.


Credit Card Information :
Name on Credit Card *
Credit Card Type
Credit Card Number *
Billing Address *
Credit Card Expires On *






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