Method of Registration

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CONGRESS GRAND TOTAL (T1)=

Participant’s Full Name

Country

Phone

Fax

Specialist / Resident

Email

Accommodation
Arrival Date
Departure Date
No. of Nights
TOTAL (T2)


Please leave empty if you would like to arrange alternative accommodation yourself.

Room Rate per Night (Bed & Breakfast) -inclusive of all taxes:

Single = JD 120   |   Double = JD 130   

 

 

Payment & Registration Instructions

 

Total Payment (T1 + T2)should be paid when sending this form as follows:

 

* From Within Jordan:

Direct Cash Payment        to the Jordanian Orthodontic Society Representative

Dr. Abdelrahman Ismail Foudeh (Mobile No. +962795599537)

Direct Cash Payment to the Jordanian Orthodontic Society Account ABC Bank

IBAN :

JO82ABCJ0011001376400901010013 - JOD

 

JO82ABCJ0011001376400901010013 - USD

 

** From Outside of Jordan:

Direct Money Transfer through any Western Union office

In the name of the authorized representative of the Jordanian Orthodontic Society

Dr. Abdelrahman Ismail Foudeh (Mobile No. +962795599537)