Registration

Title *

FirstName *

Middle Initial

Last Name *

Email *

Supervisor Name (if applicable)

Institution/Company *

Department 

Street Address *

Street Address (cont'd)

City*

Province/State*

Country*

Postal/Zip Code *

MODE OF ATTENDANCE

TRAVEL

I need an invitation letter

I need transport to and from the airport

HOTEL

Registrants are responsible for reserving their own hotel rooms.

Please contact Deborah Haralam at dmh97@pitt.edu to  to indicate that you   need a roommate and she we might be able to put you in contact with other attendees looking for roommates.

 

Payment Options:
Please indicate how you will be paying for registration (see information  below)

 

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Registration for Symposium Includes 

  • Breakfasts, lunches, coffee breaks, welcome reception.

  • Technology fees

  • Soft and hard copy of the abstract book

Registration fee is $500(USD)

Payment Options:
1.  Payment with credit card.


2.  Check or money order issued to University of Pittsburgh for the amount of $500(USD). Please indicate your name and Enamel 10 in the memo line of the check and mail to: Deborah Haralam, Department of Oral and Craniofacial Sciences, School of Dental Medicine, 509 Salk Pavilion, 335 Sutherland Drive, Pittsburgh, 15260, PA, USA.  

Please contact the symposium coordinator  Deborah Haralam (dmh97@pitt.edu) if you have questions or concerns