Online Registration Form

To download this Registration Form in PDF  click here

REG-101E

MANAGEMENT OF REGULATORY AFFAIRS
6-10 DECEMBER 2009
MANAMA, BAHRAIN

To Register

• Complete this form and send it
• Registration deadline is 30 October 2009

Personal Details
(All fields are required)

	Name Title	Mr.   Mrs.   Ms.
	First Name
	Last Name
	Organization
	Job Title
	Department
	Address
	City
	Postal Code
	Country
	Telephone
	Fax
	Email
	HR/Training Contact:
	Name
	Email
	Telephone

How did you hear about this Training Program?

	Brochure
	Conference (please specify)
	Invitation email
	Nominated by Training Dept.
	Postal mail
	Colleague referral
	Website
	ConneXion Newsletter
	Press release/Special announcment
	Other:

Price & Payment

• Training Program: 3,295 USD *
  * Net amount to be paid to Neotelis - registrants are responsible for paying all taxes claimed by any authority of their home country. Covers tuition, materials, lunches and refreshments during the Training Program.
• Payment to be made by bank transfer before 13 November 2009

Terms & Conditions

This Registration Form is a contractual agreement between the registrant and Neotelis.

All registrations carry a 20% liability immediately upon submission of the Registration Form. However, if unable to attend, substitutions can be made. Failure to notify Neotelis of non-attendance 7 days prior to the start of the Training Program carries a liability for the full price of the program.

Neotelis will strive to promptly notify participants of any necessary changes and, if necessary, reschedule or relocate the Training Program.

  I hereby confirm my acceptance of the terms and conditions indicated above.

Date (Day Month Year):