MFS 2013

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Registration

REGISTRATION DETAILS
ACADEMIC TITLE:
FIRST NAME*:
LAST NAME*:
FEMALE/MALE:	Female Male
INSTITUTION/COMPANY*:
REGISTRATION FEE*:
MEMBERSHIP (ISM/SPMicros/SME)*:	No Yes
ADDRESS:
CITY:
POSTAL CODE:
COUNTRY:
EMAIL*:
DAYTIME PHONE:
TOTAL PRICE:
INVOICE ADDRESS:	Not Same Same as above
INVOICE INSTITUTION:
INVOICE CIF:
INVOICE ADDRESS:
INVOICE CITY:
INVOICE POSTAL CODE:
INVOICE COUNTRY:
PAYMENT METHOD:
REMARKS:

* Compulsory fields

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