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ISVER 2022 registration
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Email
*
Your email
Will you be attending the live session at Azrieli mall conference hall in Modiin?
Yes
No
Other:
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First Name
Your answer
Family name
Your answer
Institution
Ariel University
Shamir Medical Center (Assaf Harofeh)
Bar-Ilan University
Ben-Gurion University of the Negev
Bnai Zion Medical Center
Chaim Sheba Medical Center at Tel HaShomer
Enaim
Hadassah Medical Center
HaEmek Medical Center
Israel Defense Force
Jerusalem College of Engineering
Kaplan Medical Center
Meir Medical Center
Rabin Medical Center
Rambam Health Care Campus
Shaare Zedek Medical Center
Soroka University Medical Center
Tel Aviv Sourasky Medical Center
The Hadassah Academic College
The Hebrew University of Jerusalem
The Technion - Israel Institute of Technology
Tel-Aviv University
The University of Haifa
The Weizmann Institute of Science
The Open University of Israel
Other:
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Phone number
Your answer
Are you an ARVO member?
yes
no
Clear selection
If you are not paying with your own credit card/PayBox account - state the name of credit card owner/person/institution paying for you
Your answer
Membership fee (link below for Paybox group - will be sent in conformation letter too)
*
https://web.payboxapp.com/?v=j&g=5e3bd92e0c3f8d0016196185#/
Choose
Student/Resident - 300 NIS
Senior/PI - 400 NIS
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