Capsule Endoscopy Course
Friday, August 7, 2026
Name
*
First Name
Last Name
Credentials (MD, DO)
Institution
*
Email
*
example@example.com
Cell Phone Number (text option)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a PSG Fellow-in-Training (FIT) member?
*
Yes
No
N/A (not a fellow)
FIT Membership:
https://pasg.joynportal.com/portal/#join-us
Will you be joining us for the DINNER reception after the course on Friday, August 7, 2026 from 6:30-8:30 pm?
*
Yes
No
If you have any dietary restrictions, please list them below.
I would like you to make me a complimentary hotel reservation for Friday, August 7 at the Pine Barn Inn, Danville, PA.
*
Please Select
Yes
No
Type of Sleeping Room
*
1 King
2 Double Beds
I agree to the following lodging policy: A complimentary one-night stay will be provided. Cancellations made within 48 hours of arrival will incur a charge of $147 plus applicable taxes and fees.
*
I agree
I disagree
Submit
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