NASBS News and Upcoming Events

Vol 11 No 1 Archive

13th Annual Meeting

Annual Meeting - Registration

Please register early for the 13th Annual Meeting. The Annual Meeting registration fee covers all scientific sessions and social program except the Pre-Meeting Workshop and Practical Course, which require additional registration fees.


Registration Fees - Annual Meeting

By 12/15/01

After 12/15/01

TOTAL

Physician-Member

(Must be a member of NASBS, or other _____________________ Skull Base Society)


$500.00


$575.00


$

Physician-Non-Member

$575.00

$650.00

$

Resident/Fellow* (Requires signature below)

$275.00*

$350.00*

$

Allied Health

$225.00

$300.00

$

Accompanying Person (Includes Social Program, does not attend meetings)

$175.00

$200.00

$

Registration Fees - Pre-Meeting Courses Please note: Enrollment in the following courses is limited. Register early to insure a space.

Pre-Meeting Workshop (Wed-Thu, Feb 13-14) - Physician

Pre-Meeting Workshop (Wed-Thu, Feb 13-14) - Resident/Fellow*

$1,200.00

$1,000.00*

$1,250.00

$1,050.00*


$

Pre-Meeting Practical Course (Fri, Feb 15) - Physician

Pre-Meeting Practical Course (Fri, Feb 15) - Resident/Fellow*

$400.00

$300.00*

$450.00

$350.00*


$

BOTH Pre-Meeting Workshop & Practical Course - Physician

BOTH Pre-Meeting Workshop & Practical Course - Resident/Fellow*

$1,500.00

$1,200.00*

$1,600.00

$1,300.00*


$

TOTAL REGISTRATION FEES

$



Registration fees may be paid with a personal or institutional check in US dollars payable to the North American Skull Base Society or by credit card.


Credit Card: G VISA G Master Card G AMEX Name on Credit Card (please print):

Card Number: Exp Date: Signature:

Name:

Address:

Address:

City: State: Country: ZIP/Postal Code:

Telephone: FAX: E-Mail:

*Program Director's Signature Required for Residents/Fellows only:

Accompanying Person Name:


Please mail payment and completed registration form to:

North American Skull Base Society

4815 Rugby Avenue, Suite 203

Bethesda, Maryland 20814-3033

301-654-6802 - FAX 301-718-8692

Special Assistance:

If you have any disability for which you require special assistance while attending this meeting, please contact NASBS at 301-654-6802.