ࡱ> :<9g bjbjVV .`r<r<""""":J000@///s:u:u:u:u:u:u:$;>://///:0@:/"0@s:/s:0qlQ"_::0:v?sv?v?///////::///:////v?///////// : Prepayment is required to secure your participation station. Cancellation Policy $300 Fee for Notices Received More Than 60 Days in Advance. Notices Received Less Than 60 Days Prior to Course Forfeit Total Fees Paid. Refunds/Credits Will Not Be Issued for Failure to Attend Course In Part or In Whole. November 16-18, 2011 (Wed-Fri course) Personal Information  First Name: Last Name:Degree:  HTMLCONTROL Forms.HTML:Text.1   HTMLCONTROL Forms.HTML:Text.1  HTMLCONTROL Forms.HTML:Text.1  Hospital or Facility:  HTMLCONTROL Forms.HTML:Text.1 Street/ PO Box: City:  HTMLCONTROL Forms.HTML:Text.1  HTMLCONTROL Forms.HTML:Text.1 State: Zip: Country:  HTMLCONTROL Forms.HTML:Text.1  HTMLCONTROL Forms.HTML:Text.1  HTMLCONTROL Forms.HTML:Text.1  Phone: Fax: (Country Code - Area Code - Phone) (Country Code - Area Code - Fax)  HTMLCONTROL Forms.HTML:Text.1 -  HTMLCONTROL Forms.HTML:Text.1 -  HTMLCONTROL Forms.HTML:Text.1  HTMLCONTROL Forms.HTML:Text.1 -  HTMLCONTROL Forms.HTML:Text.1 -  HTMLCONTROL Forms.HTML:Text.1  E-Mail Address:  HTMLCONTROL Forms.HTML:Text.1  Registration Includes Cadaver Dissection Practice (2 participants per station), Welcome Reception, 3 Lunches, and 2 Course Dinners for participant only. Spouses are an additional fee. Registration Fee  HTMLCONTROL Forms.HTML:Option.1 $1800 - Per Participant (includes new 3rd Edition color illustrated manual)  HTMLCONTROL Forms.HTML:Option.1 $1500 - Repeat Participant after May 2010 (bring your new book with you) I will attend the welcome reception (included in registration fee)  HTMLCONTROL Forms.HTML:Option.1 Yes  HTMLCONTROL Forms.HTML:Option.1 No I will join the dinner banquet(s)(included in registration fee for participant only) Wednesday night  HTMLCONTROL Forms.HTML:Option.1 Yes  HTMLCONTROL Forms.HTML:Option.1 No (additional guests #  HTMLCONTROL Forms.HTML:Text.1  @ $75 per person) Thursday night  HTMLCONTROL Forms.HTML:Option.1 Yes  HTMLCONTROL Forms.HTML:Option.1 No (additional guests #  HTMLCONTROL Forms.HTML:Text.1  @ $75 per person) Food Allergies or Restrictions: ___________________________________________ Hotel  HTMLCONTROL Forms.HTML:Option.1 I will make my own hotel reservation If you are being sponsored by a company for your hotel charges, contact the hotel directly at  HYPERLINK "mailto:justine.lapierre@hilton.com" justine.lapierre@hilton.com  HTMLCONTROL Forms.HTML:Option.1 Please reserve my hotel accommodations using my credit card ($89/night plus tax) Arrival Date HTMLCONTROL Forms.HTML:Text.1  Departure Date HTMLCONTROL Forms.HTML:Text.1   HTMLCONTROL Forms.HTML:Option.1 Non Smoking  HTMLCONTROL Forms.HTML:Option.1 Smoking Method of Payment  HTMLCONTROL Forms.HTML:Option.1 Check (payable to INERF)  HTMLCONTROL Forms.HTML:Option.1 Visa  HTMLCONTROL Forms.HTML:Option.1 Master Card Name on Card:  HTMLCONTROL Forms.HTML:Text.1  Card Number:  HTMLCONTROL Forms.HTML:Text.1  Expiration:  HTMLCONTROL Forms.HTML:Text.1  Total $ Due:  HTMLCONTROL Forms.HTML:Text.1  I authorize INERF to process my credit card for the items checked. 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