Pan Arab Conference on Diabetes 16

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Introduction

Early Bird Registration Deadline	Advance Registration Deadline	Deadline to Register online	Registration opens in Cairo
A value is required.
Sept 23, 2011	Feb 4, 2012	Mar 12, 2012	Mar 27 , 2012
PACD16 Registration will e-mail or fax a confirmation of your registration within 72 hours of receipt of your form.

First Name*

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Middle Initial*

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Last Name*

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Academic Degree(s)

DO	DPM	MD	MD, PhD	NP
PA	PhD	RD	RN	RPH/Pharm
Other (Please Specify)

Company/Institution

Mailing Address

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Street Address*

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City*

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State/Province*

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Zip/Postal Code*

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Country*

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Phone

Fax

Email*

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Additional Email

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In case of an emergency during the meeting please contact:

First Name

Last Name

Phone

Relationship

Comments*

Will this person be staying in your hotel room?

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REGISTRATION FEES

	Early Bird	Advance	Final
	Between 12/6/11-23/09/11	Between 24/09/11–4/02/12	Between 05/02/12–30/03/12
Full Registration	$300	$350	$400
Guest (Spouse/Family Member)	$100	$125	$150

Group Registration

If you are registering a group of 10 or more people for the meeting, please contact PACD16 Registration at pure@onlinediabetes.net to receive the rules and guidelines for registering a group.

Registration Categories

Guest:

One guest per full meeting registration is allowed for each registration category, with the exception of One-Day Registration. Guest Registration includes entrance to the Exhibit Hall, Poster Hall, and non-ticketed social events only. Access to sessions is not permitted. Children under the age of 18, even if paid registrants, will not be admitted to session rooms or the Exhibit Hall.

REGISTRATION CHANGES OR CANCELLATIONS

Name changes and substitutions are not permitted.
All cancellation and refund requests must be made in writing and submitted via email to pure@onlinediabetes.net.
For a full refund of the registration fee (less a $50 administrative fee), cancellation requests must be received by Sep. 23, 2011.
Cancellation requests received between Sep. 24, 2011 and Feb. 4, 2012 will receive a partial refund of 50% of the registration fee.
Cancellation requests received after Feb 5, 2012 will not receive a refund of the registration fee.
All attempts will be made to process refunds within 30 days of cancellation

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