For Credit Card payment only
Deadline : October 31, 2008
This form is for ONE registration only.
If you are interested in a group registration (10 persons or more) please contact :
info@iofbonehealth.org
IOF Congress Secretariat
,
73 cours Albert Thomas, 69447 Lyon cédex 03, France,
Fax: +33 4 72 36 90 52
Clearly TYPE your name exactly as it should appear on your badge.
* = mandatory field
Title *
Prof
Dr
Mr
Mrs
Ms
First Name* :
Family name* :
Company/Institution :
Postal Address 1 *:
Complete postal address with city, state/province and postal code
Location *
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTIGUA & BARBUDA
ARGENTINA
ARMENIA
ARUBA
ASHMORE & CARTIER ISLANDS
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN KINGDOM OF
BAKER & HOWLAND ISLANDS
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA & HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRITISH VIRGIN ISLANDS
BRUNEI
BULGARIA
BURKINA FASO
BURMA/MYANMAR
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHINA HONG KONG
CHINESE TAIPEI
CHRISTMAS ISLAND
COCOS ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO DEMOCRATIC REPUBLIC
COOK ISLANDS
CORAL SEA ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FAEROE ISLANDS
FALKLAND ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD & MACDONALD ISLANDS
HONDURAS
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAN MAYEN
JAPAN
JARVIS ISLAND
JERSEY
JOHNSTON ATOLL
JORDAN
KAZAKHSTAN
KENYA
KINGMAN REEF
KIRIBATI
KOREA
KOREA, NORTH
KOREA, SOUTH
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (FYRO)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA
MIDWAY ISLANDS
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
NAMIBIA
NAURU
NAVASSA ISLAND
NEPAL
NETHERLAND ANTILLES
NETHERLANDS
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE
PALMYRA ATOLL
PAPUA NEW GUINEA
PARACEL ISLANDS
PARAGUAY
PERU
PETER ISLAND
PHILIPPINES
PITCAIRN ISLANDS
POLAND
PORTUGAL
PUERTO RICO
QATAR
REPUBLIC OF MOLDOVA
REPUBLIC OF PANAMA
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAMOA
SAN MARINO
SAO TOME & PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SERBIA AND MONTENEGRO
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA & SANDWICH ISLANDS
SPAIN
SPRATLY ISLANDS
SRI LANKA
ST. HELENA & DEPENDENCIES
ST. KITTS & NEVIS
ST. LUCIA
ST. PIERRE & MIQUELON
ST. VINCENT & THE GRENADINES
SUDAN
SURINAME
SVALBARD
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN REPUBLIC OF CHINA
TAJIKISTAN
TANZANIA
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD & TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS & CAICOS ISLANDS
TUVALU
UGANDA
UK
UKRAINE
UNITED ARAB EMIRATES
URUGUAY
USA
UZBEKISTAN
VANUATU
VATICAN CITY
VENEZUELA
VIETNAM
VIRGIN ISLANDS
WAKE ISLAND
WALLIS & FUTUNA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Telephone :
Fax :
E-mail Address *
Accompanying person (Registration free of charge)
First Name :
Family name :
Please note that you may register only one accompanying person. This badge includes admission to the Welcome Cocktail but does not allow access to the scientific program, poster sessions and exhibition area.
Registration Fees
for Congress Duration
(please tick the appropriate box)
Status
(1)
Early Registration
until May 22, 2008
Pre-Registration
May 23-October 31, 2008 (3)
Non-Member
US$515
US$645
IOF Member
US$460
US$580
Student/Fellow
(2)
US$195
US$240
non OECD member
(4)
US$195
US$240
(1)
For definitions of status, please refer to
here
(2)
Certification of Student/Fellow status required below.
(3)
After October 31, 2008 no registration
(4)
Available for individual registrations only. Contact the Secretariat to check your country status. Proof of residency may be required.
Certification of Student/Fellow Status
(Name of training mentor/director),
I,
certify that the individual registered above is a Student/Fellow at my institution/company.
Please, send us a fax with certificate : +33 4 72 36 90 52
Cancellation and Refund Policies
- Notification of cancellation and refund request must be submitted in writing by September 14, 2008 to the IOF Congress Secretariat. An administrative fee of 20% will be deducted from the total amount originally due/charged. All refunds will be made after the Congress.
- No refunds will be given for cancellations received after September 14, 2008.
I require an official letter of invitation in order
to obtain an entry visa to Thailand.
Special Needs
It is important to us that you enjoy the IOF World Congress on Osteoporosis. If, due to a disability, you have any special needs, please let us know and we will do our best to assist you.
Payment information
Credit Card : IOF only accepts VISA and MASTERCARD (we do not accept American Express)
© 2007 International Osteoporosis Foundation