AEAS 2013 conference registration

The Association of Egyptian-American Scholars “40th Annual Conference” “Scientific Challenges & Emerging technology Tra...

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The Association of Egyptian-American Scholars

“40th Annual Conference” “Scientific Challenges & Emerging technology Transfer in Modern Egypt” December 28th – 30th, 2013 Alexandria  -­‐  Egypt

Registration  Form Name:-

__________________________________________________

Address:- __________________________________________________ Institution:- __________________________________________________ Phone/s:

____________________________

Fax: ____________________________

E-Mail:-

__________________________________________________

Participation Desired:Attendance

Discussant

Papers:-

Proposal:-

Moderator

Paper/ Proposal (Title)_________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Will Attend the Banquette:-

YES ✔

NO

Conference Fees: • Participant from USA & Canada: Members US $175 Non Members US $225 • Participant from Egypt: Members L.E. 300 Non Members L.E. 400 • Participant from AASTMT: Members L.E. 150 Non Members L.E. 200

Number of attendees: _____

Banquette US $65 Banquette L.E. 455 Banquette L.E. 455

Total Amount: _______________

Make your check payable to: The Association of Egyptian American Scholars (AEAS) P.O. Box 4333 Palos Verdes Peninsula, CA 90274 - USA www.aeascholars.org