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Operated by- Journal of Applied Pharmacy; International Journal of Pharma Research & Review: Open access
Register Now! By Phone: +1-650-268-9744; E-mail: pharmatech@pharmaceuticalconferences.com
Venue Details
Dubai, UAE
Operated by:
Editors- Journal of Applied Pharmacy; International Journal of Pharma Research & Review: Open access
Hosting organization:
Conference Series LLC Conferences
2360 Corporate Circle, Suite 400 Henderson, NV 89074-7722, USA
Tel: +1-888-843-8169, Fax: +1-650-618-1417, Ph: +1-650-268-9744, Toll free: +1-800-216-6499
Email: pharmatech@pharmaceuticalconferences.com
Only registration includes:
1.	 Conference Kit
2.	 Coffee break during the conference
3.	 Lunch during the conference
Package A: Above 3 features including the following...
4.	 3 Nights accommodation (i.e. April 23rd
, 24th
&25th
) of deluxe single/double room
at Dubai, UAE.
Package B: Above 4 features including the following...
5.	 1 Night extra accommodation i.e. April 26th
(total 4 Nights)
Accompanying Person:
1.	 Entry pass for opening ceremony
2.	 Coffee break during the conference
3.	 Lunch during the conference
PAYMENT INFORMATION
Card No:
Please Debit my:
Others
Please Invoice	 Credit Card
Yes I/We will attend Pharma Tech 2017
Name: Prof/Dr/Mr/Mrs. _____________________________________________________________________
Department________________________________________________________________________________
University/Organization______________________________________________________________________
E-mail___________________________________Address __________________________________________
________________________________________________________________________________________
_________________________________________________________________________________________
Tel_____________________________________________Fax______________________________________________
Title of your talk____________________________________________________________________________
_________________________________________________________________________ Track No ________
Do you require an invitation letter: Yes / No	 Date: Check In Check Out
Abstract submitted: Yes / No	
If “No” submit your abstract at http://pharmatech.pharmaceuticalconferences.com/call-for-abstracts.php
Please contact us if you need any special pricing!
+1-650-268-9744 (USA)
+1-650-618-1414
Toll free: +1-800-216-6499 (Only for USA & Canada)
+1-800-651-097 (Australia), 0805-080048 (Europe)
http://pharmatech.pharmaceuticalconferences.com/
Group Bookings: Take advantage of group bookings. Discounted prices, special
features etc.
Fax your details to +1-650-618-1414 (or)
Email: pharmatech@pharmaceuticalconferences.com
5 Easy ways to Register
Expiry Date: ...............................................CVV: ......................................
Signature: .................................................................................................
Credit card billing address:
..................................................................................................................
....................................................................ZIP Code: .............................
Contact name and number of the card holder:
..................................................................................................................
..................................................................................................................
Please note that cards will be debited within 7 days of your registration.
Yes I agree to the terms and conditions as stated on this form.
Delegates who do not pay their bookings are requested to provide a copy
of bank transfer/credit card/cheque details to help payment allocation.
Staff at the event will request a credit card guarantee for delegates
without proof of payment.
Items
Please tick any one of the following
On/Before September 25, 2016 On/Before December 26,2016 On April 24, 2017
Academia Business Academia Business Academia Business
Registration Fee $699 $799 $799 $899 $899 $999
Package A $1299 $1399 $1399 $1499 $1499 $1599
Package B $1399 $1499 $1499 $1599 $1599 $1699
Student Registration $ 249 $ 299 $ 349
Student (* Excluding Food) $ 99 $ 99 $ 99 $ 99 $ 99 $ 99
e-Poster $ 99 $ 99 $ 99 $ 99 $ 99 $ 99
Poster $ 100 $ 100 $ 100 $ 100 $ 100 $ 100
Accompanying Person $ 249 $ 249 $ 249 $ 249 $ 249 $ 249
Exhibition/special request Contact Organizers at Ph: +1-650-268-9744, Fax: +1-650-618-1414
E-mail: pharmatech@pharmaceuticalconferences.com
All Currency in US Dollars
Offline Registration
http://pharmatech.pharmaceuticalconferences.com/
conferenceseries.com
Dubai, UAE April 24-26, 2017
International Conference and Exhibition on
Pharmaceutical Development and Technology

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Pharmatech 2017 eform

  • 1. Operated by- Journal of Applied Pharmacy; International Journal of Pharma Research & Review: Open access Register Now! By Phone: +1-650-268-9744; E-mail: pharmatech@pharmaceuticalconferences.com Venue Details Dubai, UAE Operated by: Editors- Journal of Applied Pharmacy; International Journal of Pharma Research & Review: Open access Hosting organization: Conference Series LLC Conferences 2360 Corporate Circle, Suite 400 Henderson, NV 89074-7722, USA Tel: +1-888-843-8169, Fax: +1-650-618-1417, Ph: +1-650-268-9744, Toll free: +1-800-216-6499 Email: pharmatech@pharmaceuticalconferences.com Only registration includes: 1. Conference Kit 2. Coffee break during the conference 3. Lunch during the conference Package A: Above 3 features including the following... 4. 3 Nights accommodation (i.e. April 23rd , 24th &25th ) of deluxe single/double room at Dubai, UAE. Package B: Above 4 features including the following... 5. 1 Night extra accommodation i.e. April 26th (total 4 Nights) Accompanying Person: 1. Entry pass for opening ceremony 2. Coffee break during the conference 3. Lunch during the conference PAYMENT INFORMATION Card No: Please Debit my: Others Please Invoice Credit Card Yes I/We will attend Pharma Tech 2017 Name: Prof/Dr/Mr/Mrs. _____________________________________________________________________ Department________________________________________________________________________________ University/Organization______________________________________________________________________ E-mail___________________________________Address __________________________________________ ________________________________________________________________________________________ _________________________________________________________________________________________ Tel_____________________________________________Fax______________________________________________ Title of your talk____________________________________________________________________________ _________________________________________________________________________ Track No ________ Do you require an invitation letter: Yes / No Date: Check In Check Out Abstract submitted: Yes / No If “No” submit your abstract at http://pharmatech.pharmaceuticalconferences.com/call-for-abstracts.php Please contact us if you need any special pricing! +1-650-268-9744 (USA) +1-650-618-1414 Toll free: +1-800-216-6499 (Only for USA & Canada) +1-800-651-097 (Australia), 0805-080048 (Europe) http://pharmatech.pharmaceuticalconferences.com/ Group Bookings: Take advantage of group bookings. Discounted prices, special features etc. Fax your details to +1-650-618-1414 (or) Email: pharmatech@pharmaceuticalconferences.com 5 Easy ways to Register Expiry Date: ...............................................CVV: ...................................... Signature: ................................................................................................. Credit card billing address: .................................................................................................................. ....................................................................ZIP Code: ............................. Contact name and number of the card holder: .................................................................................................................. .................................................................................................................. Please note that cards will be debited within 7 days of your registration. Yes I agree to the terms and conditions as stated on this form. Delegates who do not pay their bookings are requested to provide a copy of bank transfer/credit card/cheque details to help payment allocation. Staff at the event will request a credit card guarantee for delegates without proof of payment. Items Please tick any one of the following On/Before September 25, 2016 On/Before December 26,2016 On April 24, 2017 Academia Business Academia Business Academia Business Registration Fee $699 $799 $799 $899 $899 $999 Package A $1299 $1399 $1399 $1499 $1499 $1599 Package B $1399 $1499 $1499 $1599 $1599 $1699 Student Registration $ 249 $ 299 $ 349 Student (* Excluding Food) $ 99 $ 99 $ 99 $ 99 $ 99 $ 99 e-Poster $ 99 $ 99 $ 99 $ 99 $ 99 $ 99 Poster $ 100 $ 100 $ 100 $ 100 $ 100 $ 100 Accompanying Person $ 249 $ 249 $ 249 $ 249 $ 249 $ 249 Exhibition/special request Contact Organizers at Ph: +1-650-268-9744, Fax: +1-650-618-1414 E-mail: pharmatech@pharmaceuticalconferences.com All Currency in US Dollars Offline Registration http://pharmatech.pharmaceuticalconferences.com/ conferenceseries.com Dubai, UAE April 24-26, 2017 International Conference and Exhibition on Pharmaceutical Development and Technology