NAOMS: REGISTRATION AND ACCOMODATION FORM

REGISTRATION AND ACCOMODATION FORM

2ND PAN-AFRICAN AND 3RD NIGERIAN CONFERENCE ON ORAL AND MAXILLOFACIAL SURGERY, SHERATON HOTEL AND TOWERS, ABUJA, NIGERIA, 12-15 NOVEMBER 2008

Fields marked * are mandatory

Title*
Name*
Address*
Telephone *
Fax
Email*

Any accompanying person *	Yes	No
Number of accompanying persons
I plan to present a (tick which)	Paper	Poster	Exhibition
If yes title
I wish to have accommodation booked at	(Hotel name)
Duration of stay	Days
From	of November 2008
To	of November 2008