Meeting Registration Form: Advances in First Trimester Ultrasound Imaging May 31 - June 2, 2018 • The Bellagio® • Las Vegas, Nevada OBGYN18 TUITION: LIVE MEETING TUITION: LIVE WEBCAST Physicians Scientists Company Personnel Fellows / Residents* Full Time Military* VA Physicians* P.A./R.A. Retired Physicians Technologists Name M.D. D.O. Ph.D. R.T. P.A./R.A. RDMS Other Company / Hospital Specialty Group Practice Name Address City / State / Zip / Country Phone Email (REQUIRED FOR ELECTRONIC SYLLABUS) Card Number Exp. Date Security Code Billing Address City / State / Zip / Country Cardholder Signature $995 $498 $595 $995 498 $595 $1,095 $598 $695 $1,095 $598 $695 ADD Printed Color Syllabus $95 Advanced Purchase Only ADD Printed Color Syllabus $95 Advanced Purchase Only Please check your selection below: INCLUDES ELECTRONIC COLOR SYLLABUS Check Meeting Registration below: INCLUDES ELECTRONIC COLOR SYLLABUS On or Before 5/21/18 After 5/21/18 On or Before 5/21/18 After 5/21/18 REGISTER ONLINE: WWW.EDUSYMP.COM Attendance is limited; therefore, early registration is strongly suggested. 4 EASY WAYS TO REGISTER We Accept FAX (813) 806-1001 PHONE (813) 806-1000 SECURE CHECKOUT INTERNET www.edusymp.com MAIL Check payable to: Educational Symposia 5620 West Sligh Avenue Tampa, Florida 33634-4490 Reduce your mail clutter or just add email announcements. Please visit the “Mailing List” section of our website at www.edusymp.com. 50% OFF There will be a $100 surcharge for anyone registering after May 21, 2018. *MUST ENCLOSE OR FAX LETTER FROM YOUR DIRECTOR CERTIFYING STATUS.
30126ES
To see the actual publication please follow the link above