PrimeFare East 2024 Attendee Registration Form

PrimeFare East Regional Scientific Symposium 2025

Marriott Downtown Hotel and Convention Center, Chattanooga, TN

Four Tracks of Education: Prosthetics, Orthotics, Pedorthics, Administrative

Your Company Name

Company Contact Information

First NameLast Name

Email

example@example.com

Address

Street Address

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Phone Number

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ABC/BOC Certification
Name of Attendee for Badge
Email Address of Attendee
Phone Number of Attendee

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ABC/BOC Certification
Name of Attendee for Badge
Emall Address of Attendee
Phone Number of Attendee

T-Shirt Size

	Please answer for each attendee
ABC/BOC Certification
Name of Attendee for Badge
Emall Address of Attendee
Phone Number of Attendee

T-Shirt Size

	Please answer for each attendee
ABC/BOC Certification
Name of Attendee for Badge
Emall Address of Attendee
Phone Number of Attendee

T-Shirt Size

	Please answer for each attendee
ABC/BOC Certification
Name of Attendee for Badge
Emall Address of Attendee
Phone Number of Attendee

T-Shirt Size

No Refunds: Our policy is that if the event can't be held for any reason, we will provide a credit for paid registrants for an alternate meeting date. Please contact us at 901-359-3936, primecarepruitt@gmail.com with questions.

Please Make Note of the Meeting Format: Registration and breakfast begin at 7am on Friday, 6/13 and Saturday, 6/14..

Educational sessions begin at 8am both days.

Attendees must make their own hotel reservations: Contact the hotel directly and mention the PrimeFare East meeting for the special rate of $189.00 per night.

Marriott Downtown Hotel

Two Carter Street

Chattanooga, TN 37402|423-756-0002

Or. use this link to Book Your PrimeFare East Hotel Reservations At Our Special Group Rate

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PrimeFare East Regional Scientific SymposiumAttendee Registration PrimeFare East 2024

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Additional Guest Meal(s)$50.00 additional per meal

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