Title :

Prof. Dr. Mr. Mrs. Ms.

First Name :

Middle Initial :

Last Name :

Organization :

Address :

Country :

City :

Zip Code :

Email Address :

Telephone Number :

Fax Number :

Nationality:

Reservation :

Check in :

Please secure the following reservation:

	Egyptians/Residents	Non-Egyptians
Single Room	LE 420.00	US$ 110.00
Double Room	LE 260.00	US$ 90.00
Triple Room	LE 240.00	US$ 80.00

Payment :

Check/ bank order
payable to

Alexandria University Desalination Studies and Technology Center (ADST)
Mailing Address
Alexandria University Desalination Studies and Technology Center (ADST)
Alexandria University - Administration Building Office of the President
El-Shatby
Alexandria - EGYPT

Bank transfer

to the following account (A copy to be faxed to ADST. Please consider your own bank charges) :
Bank Name: Central Bank of Egypt
Account Number: for National currency: 9/450/88050/9
for Foreign currency: 4/082/17847/7
 

Credit Card

  Visa

Card No :

Exp. Date :

mm / yy

Cardholder Name :