Preliminary Registration Form
THE 11Th INTERNATIONAL CONFERENCE OF
JORDANIAN GEOLOGISTS ASSOCIATION
combined with
THE 9TH INTERNATIONAL SYMOSPIUM ON MIDDLE EAST GEOLOGY
13-18 September, 2015
Amman-Jordan
Family Name:.………………..……………Name:………………………...…...
Title: )Identify Prof., Dr., Eng., Mr., Ms., Mrs.) ……........………………..
Institution:…....……………………………………….…………………..…….…
Address…………………………………………………..….….…………………:
City:…..………………………….…....Postal Code:…………..…......……...…
Country/State:………………………...…………………………………….…..…
E-mail:……………………………….…….……………………….……………….
Phone:…………………..……..………Fax:…...……...………………………....
** I would like to participate in the conference with:
<!--<!--Oral presentation
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Topics of interest: Please indicate the conference topic number (…..…)
Workshop of interest: Please indicate the workshop topic number (….... )
Title of the paper ………………………………………………………………...
………………………………………………………………………………….……
……………………………………………………………………………….………
** I would like to participate in the following Field Trip (s) of interest: Please indicate the Field Trips topic number (……….....and………….... ).
Conference Fees: 150 Euro (100 Euro before 1/7/2015)- Student 25 Euro (Excluded the field trips)
Date:……………………….….……………Signature:…...........….…….…………………
Correspondence and Registration
Enquiries concerning symposium registration, posters, abstract submission and field trips should be addressed to the conference president:
Contact Address: Prof. Ahmad Al-Malabeh Fax: +962-6-5652312
P.O. Box: 941792 Postal Code: 11194, Tel.: + 962-6-5652310
Amman – Jordan
Emails: [email protected] or [email protected]
Home page: http://www. http://www.jga.org.jo/
METHOD OF PAYMENT
Bank Transfer:
THE 11th INTERNATIONAL CONFERENCE OF JORDANIAN GEOLOGISTS ASSOCIATION
Beneficially Name: JORDANIAN GEOLOGISTS ASSOCIATION
Beneficially Bank: ISLAMIC INTERNATIONAL ARAB BANK
Bank Branch: AMMAN-ALSHMESANI
Account Number: (1080-400-401201-8000013-0)
IBAN Number: (JO18 IIBA 1080 0000 0108 0000 0135 00)
Swift Code: (IIBAJOAM200)
P.O. Box: 941792 Postal Code: 11194- AMMAN / JORDAN
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