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					                               Cleveland Clinic and Cleveland Clinic Abu Dhabi present

                              Innovations in the Management of
                                   Cardiovascular Disease
                        Tuesday, April 17, 2012, Raffles Hotel, Dubai – United Arab Emirates
                            A Complimentary Pre - World Congress of Cardiology
                                       Satellite Symposium and Luncheon
                                                            Registration Form

    Personal Details

Title:                Prof.              Dr.                  Mr.                 Ms.


First name(s):_____________________________________________ Last name: __________________________________________


Company: ________________________________ Speciality: ________________________ Nationality: _________________________


Address: ___________________________________________________________________________________________________


City: ___________________ State: _________________Country: ________________________ Postal / Zip Code: __________________


Phone : _________________________________ Mobile: ____________________________ Fax: _____________________________


Email: _____________________________________________________________________________________________________


•    Registration entitles participants attendance to the congress, lunch and conference materials
•    For administrative and preparatory reasons, pre registration is possible until Thursday 12 April 2012 (GMT+ 4). From this date onwards,
     we advise you to register on-site at the Raffles Hotel, Dubai, UAE



Please fax or email a copy of your passport to: MCI Middle East LLC, Dubai. Fax: +971 4 311 63 01.
Email: cardiovascular-symposiumdubai@mci-group.com


Further Information
For further information / queries on this booking form, registration or any other aspect related with Pre - World Congress of Cardiology Satellite
Symposium 2012


Contact Details
MCI Middle East LLC (conference Secretariat)
Address: P.O. Box 124752
Dubai, United Arab Emirates
Phone:             + 971 (0)4 311 6300
Fax:               + 971 (0)4 311 6301
Email:             cardiovascular-symposiumdubai@mci-group.com
Website:           www.cardiovascular-symposiumdubai.com

				
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