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
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Breakfasts, lunches, coffee breaks, welcome reception.
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Technology fees
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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.