implants - international magazine of oral implantology

Towards Innovative Procedures and Technique in Dental Implantology United Arab Emirates—Dubai Atlantis The Palm From 31 October to 2 November 2013 Stamp I hereby accept the terms and conditions of the 8th DGZI Congress. Date Signature Fax this form to +97126289833 E-mail this form to reg@dgzi-agic.ae I hereby register the following person for the 8th DGZI Congress from October 31 to November 2, 2013, in Dubai, United Arab Emirates (Please fill out this form): Note: For online registration please visit www.dgzi-agic.ae, for further inquiries please contact 0097126355527. First name: Title: ❑ Dr ❑ Prof. ❑ Mr. ❑ Mrs.Last name: Office phone: E-Mail:Fax: Institution: Adress/P.O. Box: Registration fees* Early Bird Before September 30, 2013 September 30, 2013, to October 29, 2013 ON-SITE ❑ Dentists US $ 500 US $ 550 US $ 600 ❑ Students & Interns US $ 400 US $ 450 US $ 500 ❑ DGZI members US $ 300 US $ 350 US $ 400 Payment Details: Money transfer (or bank deposit) Abu Dhabi Islamic Bank: 1-56686-9; IBAN: AE-31-050-0000000015668699 Beneficiary: success Steps Seminars & Conference LLC *Fees include: Congress Lectures, Access to exhibition hall and 3 days lunch at Atlantis The Palm Hotel, Dubai. Silver Sponsor: Dr Gernot Wimmer Dr Khaled Abdel-Ghaffar Dr Mario H. Rodriguez Dr Mazen Tamimi Dr Michael Payer Dr Ramy Fahmy Dr Nicole M. Geha Dr Mohamed Moataz Dr Amr Abdel Azim Prof. Nabil Barakat Dr Rainer Valentin Dr Rolf Vollmer Dr Vedat Bankaoglu Dr Martin Lorenzoni Dr. Nadim Aboujaoude Dr Martina Vollmer Dr Roland Hille Dr Suheil M. Boutros Dr Werner Zechner