Alexandria University Desalination Studies & Technology Center

Registration Form

Name: Mr./Mrs./Ms./Dr./Prof. (First , Middle Initials, Last)
Organization, Company, University
Address :
Country :
City :
Zip Code :
Email Address :
Telephone Number :
Fax Number :
I plan :
Title of the paper :
Registration Fees
Payment :

Payment Notes

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

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Credit Card

o Visa

Card No,. ……………………………………………..…..

Exp. Date …………………………………………………

Cardholder Name ………………………………………..

Signature ………………………………………