Virginia Radiological Society 2022 Annual Meeting Registration

2022 Annual Meeting

August 13 & 14 | Kingsmill Resort | Williamsburg, Virginia
Thank you for your interest in registering to attend our 2022 Annual Meeting! We're excited to have you join us. Please complete the following information to register for the event.
Registrant Name *

First Name Last Name
Registrant Email *
example@example.com
Registrant Phone

Area Code Phone Number
Group/Practice Name *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

I will attend: *

	YES	NO
Saturday, August 13 - Educational Session - 8:00 AM - 12:30 PM
Saturday, August 13 - Resident Caucus - 12:30 PM
Saturday, August 13 - GOLF - 1:20 PM (1st Tee Time) - $195 Per player
Saturday, August 13 - Chapter Reception & Dinner - 6:30 PM*
*I'll be bringing a guest to the Chapter Reception & Dinner
Sunday, August 14 - Educational Session - 8:00 AM - 12:30 PM

I give permission for the VRS to share my contact information (name, city, email address) with the vendors.

Yes No
Hotel Reservations | Kingsmill Resort

1010 Kingsmill Rd, Williamsburg, VA 23185
A block of rooms has been reserved at the discounted rate of $219.00. To book the room that best accommodates your needs, please call Resort Reservations at (757) 253-1703 or reserve on-line here.

Book your room early! The room block expires on July 22, 2022 but rooms may sell out before then.
QUESTIONS
Contact Lara Knowles, Society Coordinator, at 804.622.8137 (office), 804.310.5599 (cell) or lknowles@ramdocs.org.
Payments

Pay online now or send a check later. (IMPORTANT: All resident/medical student registrations MUST select pay by check to bypass online payment system)
Payment Method

Pay online Pay by check
Payment Details
REGISTRATION CATEGORIES

VRS MEMBER: $100.00 RESIDENT/STUDENT/RBMA MEMBER: Free NON-MEMBER: $150 GOLF ($195 per person; River Course)
REGISTRATION CATEGORIES
prev next ( X )
MEMBER Includes $5 convenience fee
$ 105.00

RESIDENT/MEDICAL STUDENT/RBMA MEMBER
Free

NON-MEMBER Includes $5 convenience fee
$ 155.00

GOLF River Course | 1:20 PM 1st Tee Time | $195 per player | Includes $5 convenience fee
$ 200.00 Quantity

Total

$ 0.00
Paying by check?

Make check payable to VRS and mail to:

VRS
Attn: 2022 Annual Meeting Registration
2821 Emerywood Parkway, Suite 200
Richmond, VA 23294

Resident / Medical Students must select "Pay by Check" to bypass online payment system, but are not required to send payment.

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

2022 Annual Meeting

Hotel Reservations | Kingsmill Resort

QUESTIONS

Payments

Payment Details