Registration Form

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Registration Form

please complete the registration form below, you will receive your invoice by email

Email *

Name : *

First Name : *

Country : *

Registration : *

NB:

* 2 Nights Senior Pack includes the registration to the congress + 2 hotel nights in a single room on half board;

* 3 Nights Senior Pack includes the registration to the congress + 3 hotel nights in a single room on half board;

* 2 Nights Junior Pack includes registration for the congress + 2 nights in a hotel in a double room on half board (2 residents / room).

* 3 Nights Junior Pack includes registration for the congress + 3 nights in a hotel in a double room on half board (2 residents / room).

For any special request (pick-up, accompagning supplement, etc.), please contact MICE Travel agency on 00216 71 28 28 27 or by email at the address: bksibi.mice@planet.tn;

For any request relating to the scientific aspect, please contact Dr Ahmed Said Zribi by email to zribi.ahmedsaid@yahoo.fr

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