HomeAbout USATMC 2005RegistrationFun!Contuct US

ISBT ATMC 7

Alger 6-9 December 2009
Registration Form
Fill the following form and submit it to
Professor K. Boukef ATMC Coordinator: kamel.boukef@live.fr and to
Mrs Soraya Cheraitia, National Blood Agency (Algeria) : sorayacheraitia@yahoo.fr

FORM
Mrs Soraya Cheraitia, National Blood Agency
(Algeria) local Coordinator

Tel: 00213 21 40 21 60 / 00213 21 40 22 99/ 00213 21 55 03 70
Email: sorayacheraitia@yahoo.fr

Pr. K. Boukef

Mobile : 00 216 98 31 70 44
E-mail : kamel.boukef@live.fr or kamel@boukef.com
 

Fill the following form and press send:
 
* First Name :
* Last Name :
* Nationality :
* E-mail :
* Coming from
(Country/City)		 :
  No. of Single room :
  No. of Double room :
  No. of Accompany persons :
* Tel No.
(We prefer mobile)		 :
* Date of birth :
       
  Comment:    
 
     
       

 


Check Mail                                            Home           About us           ATMC 2009            Registration            Fun!           Contact US           
Home Site Map