4th ASOI Conference Registration Form
MAIN PROGRAM REGISTRATION
Name
Tel
Cellular

Email
Address
City
Country
Before Dec. 1st (LE 250 )

Registrations after Dec. 1st will be (LE 300)
WORKSHOPS REGISTRATION
Friday, Jan 9 Biomet 31 seminar 200 LE
Friday, Jan 9 Osstem Workshop 100 LE
theoretical

250 LE
theo + workshop
Friday, Jan 9 Piezotome Workshop 350 LE
Friday, Jan 9 Piezotome Seminar 200 LE
Friday, Jan 9 Implants Prosthodontics 200 LE
Saturday, Jan 10 Laboratory Workshop 200 LE
   

Please send me one of the ASOI representatives to confirm my booking.