Request for Conference Registration

“ONSITE registrations will NOT be allowed”

We apologise for any inconvenience.

Conference is at full capacity. We can only accept requests for registration.
Please send your Request for Registration and allow some time to receive a response.

Thank you

Important Note:
By registering for and/or attending the 14th International Conference on Thalassaemia and Other Haemoglobinopathies &
16th TIF International Conference for Patients & Parents
, all participants agree to be bound by, and comply with, these Terms and Conditions. It is the participant's responsibility to read and understand these Terms and Conditions.

Please complete all the fields in the order they appear.
Please fill all fields marked with a red asterisk (*)
Registrant Contact Details
Salutation:*
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Gender*
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Full Name*
Please Enter your Full Name

Company
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Email*
Please specify your email address.

Phone*
Please Enter your Phone Number

Please include your international and area codes

Country*
Please make a selection

VISA ASSISTANCE If needed
If you need Invitation Letter please enter:
Passport No.:
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Do you need assistance to obtain Visa?:
Please Select:
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For information and cost obtaining Visa please contact: secretariat@tifevents.org
Registration Category
Registration Category*
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EHA-CME Account
If you have an EHA-CME Account enter it here:
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Registration Package
Registration Package*
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Registration Package*
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The conference packages include:

  • Entrance to the conference, conference materials, lunch & coffee breaks during the two conference days of 18 & 19 November 2017
  • Two nights’ accommodation (bed & breakfast) at the conference
  • Please note, more nights can be added to your package at an extra cost.
Personal Information for Second Person
Salutation:
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Gender
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Full Name
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Passport No.:
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* If you need support with your Visa issuance enter your Passport number here.

Contact Details for Second Person
Does the Second Persons share the same contact details as you?
Please choose:*
Please Select

Email
Please specify your email address.

Phone
Please Enter your Phone Number

Please include your international and area codes

Country
Please make a selection

Second Person Registration Category
Registation Category*
Please make a selection

Accommodation Dates
Check-in date:*
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Check-out date:*
You must select a date

Room Type:*
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Special Requests
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Type any special requests
you want us to know about.

Number of Days
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Click to Accept*
You must accept the terms

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