Regenerative Medicine Virtual Review Course October 2020

REGISTRATION

Virtual Comprehensive Regenerative Medicine Review Course

October 17-18, 2020

Personal Information:

First Name: *

Middle Initial:

Last Name: *

Organization:

Address: *

City: *

State: *

Zip: *

Phone: *

Cell:

Fax:

E-mail: *

Please answer all of the following questions:

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Medical Degree: *

MD DO PhD

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Primary professional practice setting (please check all that apply):

Ambulatory Surgery Hospital Office Practice Academic University Administrative Military VA

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Course and Payment Information

Registration Fee *

Review Course Physician Member $ 600.00

Review Course Non-Physician Non-Member $ 600.00

Review Course Physician Non-Member $ 700.00

Review Course Non-Physician Member $ 500.00

Add-on Review Course Recording $ 100.00

Special price for those who purchase the live program

Recorder Version Only (No CMEs) $ 300.00

Will be available after the live course airs - no CMEs are offered for the recorded version

Resident/Fellow $ 50.00

Medical Student $ 5.00

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CANCELLATION POLICY:

ASIPP reserves the right to cancel this course upon reasonable notice and will assume no financial obligation to registrants for cancellation for reasons beyond its control. Registration fees will be refunded. Virtual meeting registrations cannot be refunded after registration has been activated

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