AMS Membership 150th Gala Registration

AMS 150th Anniversary Gala Event

We Want You to Help Us Celebrate!
ONLINE REGISTRATION HAS CLOSED!

PLEASE JOIN US AT THE STATEHOUSE CONVENTION CENTER

WHERE YOU CAN REGISTER IN PERSON.

REGISTRATION OPTIONS LISTED BELOW

Dress Code for Gala Reception and Dinner : Semi Formal, Cocktail

Cultural Attire and Traditonal Dress (Highly Encouraged)
Name

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Email
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Phone Number
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My Products
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Non-Member Physician w/o Guest:
Breakfast, Education Sessions, Awards Lunch, Gala Reception and Event

$150.00 Quantity



Non-Member Physician + Guest Physician - Limit 1
Breakfast, Education Sessions, Awards Lunch, Gala Reception and Event

$300.00 Quantity



Non-Member Physician + Guest - Limit 1
Breakfast, Education Sessions, Awards Lunch, Gala Reception and Event

$200.00 Quantity



Member Physician w/o Guest:
Breakfast, Education Sessions, Awards Lunch, Gala Reception and Event

$75.00 Quantity
Item subtotal:$0.00



Member Physician + Guest Physician - Limit 1
Breakfast, Education Sessions, Awards Lunch, Gala Reception and Event

$150.00 Quantity



Member Physician + Guest - Limit 1
Breakfast, Education Sessions, Awards Lunch, Gala Reception and Event

$100.00 Quantity



Medical Student/Resident/Fellow
Breakfast, Educational Sessions, Awards Lunch, Gala Reception and Dinner

$25.00 Quantity



Medical Student/Resident/Fellow + Guest - Limit 1
Breakfast, Education Sessions, Awards Lunch, Gala Reception and Event

$50.00 Quantity



Total

$0.00
$150.00 - Non-Member Physician$300.00 - Non-Member Physician + Guest Physician$200.00 - Non-Member Physician + Guest (Non-Physician)$75.00 - AMS Member Physician$150.00 - AMS Member Physician + Guest Physician$100.00 - AMS Member Physician + Guest (Non-Physician)$25.00 - Medical Student/Resident/Fellow$50.00 - Medical Student/Resident/Fellow + Guest
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AMS 150th Anniversary Gala Event