Registration | Event Consultant

Registration Form

25^th-26^thAug.2022 @landmark Amman Hotel ,Amman-Jordan

Full Name:

First

Middle

Family

Title:

Specialty:

Institution:

Nationality:

Address:

Phone:

Cellular:

Registration fees:

Consultant/ Register Doctor:
Jordanian Psychiatrists USD 150
Non Jordanian USD 200
Resident USD 70
Other Mental Health USD 70

The Registration fees include:
- Access to the opening ceremony and the scientific sessions.
- lunches and coffee breaks
- Conference bag which includes a certificate of attendance, and abstracts book with final program.

Total amount to be paid in $:

Please transfer the payment to:
Bank Name: Islamic Bank Branch: Swaifieh (27)
Account Name: Khraishi and Naser Co. (Al Mustashar for Conferences)
Account Number: JOD: 0115800410400005
IBAN Number: JO 74 JIBA 0270 0001 1580 0410 4000 05
SWIFT Code: JIBAJOAMXXX
Bank Address: Tel:06-5829083

Please upload a copy of Bank Transfer receipt or please email us with it on admin@eventscons.com

Registration Form

25th-26thAug.2022 @landmark Amman Hotel ,Amman-Jordan

Full Name:

25^th-26^thAug.2022 @landmark Amman Hotel ,Amman-Jordan