Registration Form

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Mail to: Janet Seabrook, Elsevier, The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, UK

Please register me for the First World Congress of Oral Oncology

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Presenters should provide their abstract reference number in order to ensure that their material is included in the final program and abstract book
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Registration Rate

IAOO Fellow €500
Non-member of the IAOO: €550
Student, Nurse, Resident: €200

Late booking surcharge for all registrations received after 1 April 2007: €100

Please book me _____ tickets for the optional Conference Dinner @ €50.00 + VAT @ 19% = €59.50.
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DECLARATION (Please note that unsigned forms cannot be accepted)

I have read and agree to abide by the payment and cancellation terms, and I understand that this form confirms my conference booking. I accept that from now on charges will be imposed for cancelled registrations, and that up to the full registration fee will be payable if I am unable to attend the conference for any reason.

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Date:__________/__________/__________

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Last Updated
20 November 2006
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