The Association of Egyptian-American Scholars
“40th Annual Conference” “Scientific Challenges & Emerging technology Transfer in Modern Egypt” December 28th – 30th, 2013 Alexandria -‐ Egypt
Registration Form Name:-
__________________________________________________
Address:- __________________________________________________ Institution:- __________________________________________________ Phone/s:
____________________________
Fax: ____________________________
E-Mail:-
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Participation Desired:Attendance
Discussant
Papers:-
Proposal:-
Moderator
Paper/ Proposal (Title)_________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Will Attend the Banquette:-
YES ✔
NO
Conference Fees: • Participant from USA & Canada: Members US $175 Non Members US $225 • Participant from Egypt: Members L.E. 300 Non Members L.E. 400 • Participant from AASTMT: Members L.E. 150 Non Members L.E. 200
Number of attendees: _____
Banquette US $65 Banquette L.E. 455 Banquette L.E. 455
Total Amount: _______________
Make your check payable to: The Association of Egyptian American Scholars (AEAS) P.O. Box 4333 Palos Verdes Peninsula, CA 90274 - USA www.aeascholars.org
