AMERICAN ACADEMY OF AESTHETIC MEDICINE
 
AAAM MEMBERSHIP FORM
* Fields are mandatory
*Title:
*First Name:
Middle Name:
*Last Name:
Designation:
If Other, please define:
Practice/Inst/Org:
*Name on Certificate:

(Please enter your name exactly as you wish it to appear on your Membership Certificate. Include appropriate designations (MD, DO, DDS, etc.)
Field of Medical Practice:
If Other, please define:
*Mailing Address:
*City:
*Country:
Province/State:
*Zip Code:
*Phone:
Fax:
*Email:
Website:
Type of Membership:


Comments/
Advanced Question:
A place in the course will be confirmed following receipt of registration and course fees. Once a seat has been allocated there shall be no refund whether full or part course fee is paid. While we make every effort to run courses as advertised, we reserve the right to change the timetable and/or teaching staff without prior notice and to cancel/postpone any course without liability (in which case there will be a full refund of course fees received.
        
 
MEMBERSHIPS

MEMBERS: US$200

METHODS OF PAYMENT

PAY ONLINE (CREDIT CARD)

Pay Now

BY CASH/CHEQUE/BANK DRAFT:
(AED currency only)

made to:
International Business Consult
mail to:
Post box 62669, Dubai UAE

or call 04-3370400 for collection

BY WIRE TRANSFER

Payable: International Business Consult
Branch:
Commercial Bank of Dubai, Jumeirah Branch, Dubai, UAE
Swift Code: CBDUAEAD
Account No: 1000600393
IBAN No. AE540230000001000600393


IRAN BRANCH

Payable: International Business Consult
Bank:
Bank Saderat Iran
Branch: Al Maktoum Street, Dubai - UAE
Swift Code: BSIRAEAD
Account No: 2533202387010
IBAN No.: AE620130002533202387010

 
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