ISL-FD will provide significant discounts for individuals who are Government/Health Authorities and Academic.  The discount must be approved by the Committee.  Register for the event with the form below, and indicate your reason for requesting reduced pricing in the comments box at the bottom.  Payment can be done by PayPal (credit card) or wire transfer. We will respond with details for paying after registration is received.

Title (Dr., Mr., Ms., etc)

Full Name (required)

Email

Telephone Number

Fax Number

Organization or Company

Street Address

City

State / Province

Zip Code (or NA)

Country

Please select from the following choices.

Conference + Seminar + Workshop SPECIAL (644 Euros)
Conference + Seminar SPECIAL (495 Euros)
Conference + Workshop SPECIAL (495 Euros)

Seminar (165 Euros)Workshop (165 Euros)Conference (385 Euros)

PLEASE LET US KNOW IF YOU WILL ATTEND OUR DINNER:

Yes, I will attend the Gala Dinner (Free)No, I cannot attend the Gala Dinner

Payment Method:

Wire TransferCredit Card

Check this box if you are a PhD Student.

Comments, Justification for Reduced Pricing

Thank You!

(You will see a confirmation on the screen if the send is successful)

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