Registration Fees for Pre WOC Ophthalmic Trauma Symposium

Category Early Bird Before Mar 31st, 2020 After Mar 31st, 2020
Ophthalmologists (Global)
USD $100
USD $100
Ophthalmologists (Africa)
USD $75
USD $100
Allied Health / Residents / Fellows in Training
USD $50
USD $50
Invited Faculty for the workshop (Registration free but mandatory)
0
0

Registration Information

Prefix: *
Full Name: *
Gender : *
Address: *
City :
State :
PIN / Zip Code :
Country : *
    Mobile : *

Email ID: *
Food Preference : *

Payment Details

Registration*
   =    $
   =    $
* fields are mandatory
Verify your information before you make the payment

Registration Information

Name:
Gender:
Address 1:
Address 2:
Address 3:
City:
State:
PIN / Zip Code:
Country:
Mobile:
Email:
Food Preference:

Payment Details

   =   $