Online Registration Form

*Marked fields are required

Billing Information

Registration

Company/ Industry

On/Before
May 01, 2017
$749

On/Before
Mar 31, 2017
$799

On/Before
Sep 05, 2017
$849

Academics

On/Before
May 01, 2017
$699

On/Before
Mar 31, 2017
$749

On/Before
Sep 05, 2017
$799

Student

On/Before
May 01, 2017
$299

On/Before
Mar 31, 2017
$349

On/Before
Sep 05, 2017
$349

Delegate

On/Before
May 01, 2017
$

On/Before
Mar 31, 2017
$

On/Before
Sep 05, 2017
$

Accommodation

Single Occupancy - $190$
Double Occupancy - $200$

ADD-On Registrations

Poster

On/Before
Mar 31, 2017
+ $100

Accompanying Person

On/Before
May 01, 2017
+ $299

Your Total Payment $0.00 * All prices are in USA Dollars only.



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If you are unable to register online, please download the Registration Form, fill and send it back to us at optometry@clytoaccess.com


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