5th International
Congress of Lip Cleft and Palate
26-28 October 2018 Baku, Azerbaijan
Turkish Cleft Lip and Palate Society
Society of Plastic Surgery Azerbaijan

Important notes:

• Once your Registration has been successfully submitted, you will receive an e-mail confirmation.

• Registration will not be valid until the full payment is received. Those who do not receive a confirmation notice before the conference are requested to contact the congress secretariat.

• Date of payment is decisive for the registration fee. Even if the registration form is received before the early bird deadline, it will not be considered as early bird registration if the payment has not been received before the deadline.

• Payment slip should be sent to the congress secretariat as a payment proof. Otherwise the registration will not be considered as completed and confirmed.

• Registration Fees are included Tax.

Registration Information *: Required.
Category* 
First Name  *
Middle Name
Last Name *
Institution *
Department
Sex*
Date of Birth *
Country *
City *
Postal Code *
Address*
Title *
E-mail *
Phone *
Fax

3 nights accommodation will be booked at Qafqaz Baku City Hotel.

All the extra expenses should be paid directly by the guest to the hotel by credit card

Accommodation
Occupancy*
Hotel:
Room Type:
Check in date:
Single/Double:
Check out date:

Flight Details
Airlines:*
Departure date:*
Arrival date:*