Ascensia Diabetes Care

Middle East Pharmacist Symposium

Jeddah, Crowne Plaza Hotel

Friday, 20 December 2019

Registration Form

 
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Important Notes:

  • Please ensure that you write your name as you would like it to appear on your CME Certificate.

  • Your CME Certificate will be sent to you by email with 2 working days from submitting the workshop survey.

  • Please DO NOT use the same email address to register more than one person (Your CME certificate will be sent the email address in the Registration Form).


Crowne Plaza Jeddah Registration 01:00 PM – 01:45 PM Main venue: Crystal Ballroom on the ground floor Breakout room: Crowne Meeting Room on the first floor
PARTICIPANT DETAILS
Name *
Name
As you would like it to appear on your CME Certificate
Please select public or private
(Name of clinic, hospital, or governmental organization)
Please recheck your email address *
Your registration confirmation and your CME will be sent to you by email, please make sure your email is correct
Mobile Number *
Mobile Number
05XXXXXXXXX