March 5 - 8, 2008     Hotel Las Americas, Cartagena, Colombia
 
   
 
 
I will attend the Welcome Reception
yes
no
 
I will attend the Federation Member Dinner
yes
no
 
I will attend the Closing Reception 
yes
no
           
 
 
 
 
   
   
   
 

Avianca offers those attending events having us as their official airline a 10% to 20% discount for tickets on domestic routes (*), and 5% to 15% discount for fares announced on international routes (**). In order to profit from these benefits, you only need to certify your registration to the event and your Avianca Conventions electronic card. To print it and get more information, please visit our web page www.avianca.com

* Not applicable to the lowest fare in the route
** See restrictions at www.avianca.com

 
  • Please Fill up this Format or send your Registration Form via e-mail or fax to the numbers cited below.

  • Just in case you have done your deposit in cash, send an e- mail and let us know: Date, Amount and Bank Name where you did your deposit. If it´s  possible an scanned copy of your transaction form or receipt will help us  also.

  • If you have any doubts please contact us and we will be pleased to help you.
  Fax
  email gerente@cirugiaplasticafacial.org
     
 
Personal Data
   
Last Name
First Name
Address
City
Country
Telephone
e-mail
     
Registration Costs
 
From February 1/ 2008 Until March 6/ 2008
               
 
Registration Costs
Colombian Pesos
American Dollars
Euros
               
IFFPSS, SCCPFR MEMBERS,
$1.250.000
$625,00
500,00 €
Othorhinolaryngologist No Members
$ 1.800.000
$900,00
720,00 €
Residents or fellows ( Letter required from Head Departmant)
$ 750.000
$375,00
300,00 €
Other medical specialities either profesors or residents
$2.300.000
$900,00
720,00 €
   
 
Payment Options
   
  Please choose your most convinient  payment option.
 
Credit Card
Cash deposit or Bank Transaction
     
  • If you are paying with your Credit Card either Visa Or American Express, you must download the registration form bellow and enter all of the data required. You can send this information by e –mail, or if you prefer, send it by fax to the number bellow. Once we register your payment option we will contact you by e-mail to confirm your attendance.
 
IF you have choosen to pay by credit card Please Click here to Download the Registration Form
 
 
     
     
Paying with DOLLARS Currency
  Intermediary Bank Citibank New York
  ABA 021000089
  SWIFT CITIUS33
  PAYER BANK BANCOLOMBIA, Colombia
 
SWIFT
COLOCOBM
  Account Number 36006658
     
Paying with EUROS
  Intermediary Bank DEUTSCHE BANK FRANKFURT
  SWIFT DEUTDEFF
  Payment Bank BANCOLOMBIA, Colombia
  SWIFT COLOCOBM
  IBAN CODE DE89500700100951331800
  Bancolombia´s Account Number with Deutsche Bank FrankFurt 100951331800
     
BENEFICIARY: Sociedad Colombiana de Cirugía Plástica Facial y Rinología
  Account Number 20116996198
  Address Avda 9 No. 100 - 07 of. 501 Bogotá
  Telephone (57 1) 2565928
  Details Registration Payment, Cartagena 2008
     
Note: All of the Bank Transaction charges due to international payments must be responsability of the participant so as it´s payments.
 

Up

 
:: Avenida 9 No. 100 - 07 Oficina 501 • Bogotá, Colombia ::
:: Tel: (57 1) 256 5928 • Fax: ( 57 1) 691 02 25  ::
:: email:info@cirugiaplasticafacial.org ::


Desarrollado por IMAGINE S.A.