CONTACT INFORMATION
First Name
*
Last Name
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Title
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MD
DO
Other
Personal Cell
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Personal Email
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Will you be bringing a spouse and/or guest(s)?
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Yes
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How many?
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Please Select
1
2
3
4
5
Spouse/Guest Name
PAYMENT REGISTRATION INFORMATION
The activity and number of participants you select below must match what you selected above. You can only select one since the activities occur simultaneously. Also, Please note that all credit card transactions will incur a 3.5% administrative charge.
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Meeting Registrant Type
AOS Members: $425; Non-Members: $550; Allied Health Professionals: $250; Fellows: $0; Residents: $0
$
Free
Membership Status
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AOS Member
Non-Member
Allied Health Professional
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Credit Card Details
SUBMIT
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