Annual Meeting Registration Form

 

*specifies required

Annual Meeting Registration Form

The Rhinoplasty Society Annual Meeting 2017

Thursday, April 27, 2017, San Diego, CA
Advance Registration Deadline - March 27, 2017

THIS REGISTRATION FORM IS FOR THE ANNUAL MEETING
ONLY ON THURSDAY, April 27, 2017

*Name (First & Last Name Only For Badge):   

*Specialty:  Plastic Surgery Facial Plastic Surgery OTO/ENT

Address:

City: State: Zip:

Country:

Phone:

*Email:

Registration Fees (includes Breakfast, all breaks, lunch, and Reception)

March 28 - April 27
Members $ 495
Non-members $550
Residents, Fellows,
Medical Students -{includes Reception}
** Letter from program director required
waived
Allied Medical Professionals $300
Guest (Reception Only) $75

Please provide the name of your guest attending the reception with you:

Total sent $:

Payment method:  Paying Online Paying by Check

Residents: Please upload your Program Directors Letter HERE (doc, docx, txt, pdf):
Do Not Send Form Without Letter

STOP!!! Before proceeding to online payment, please click the 'send form to executive office' button above to be sure your registration form is sent. THEN, please proceed with online payment below.

Payment by credit card is the TRS preferred method of payment

To pay by credit card CLICK HERE
or make checks payable to, and Mail to:
The Rhinoplasty Society, P.O. Box 441745, Jacksonville, FL 32222
Foreign Checks must be BANK DRAFTED in US FUNDS.

- Cancellation Policy -

By March 27, 2017 – Full Refund
March 28th – April 15th – Refund – Less $150 Administration Fee
April 16th and after – No Refund

Hotel Information

For hotel reservations, please visit:
Online Hotel Reservations: http://www.onpeak.com/ASAPS
Hotel Reservations by Email: asaps@onpeak.com

The Rhinoplasty Symposium – A joint presentation by The Rhinoplasty Society and The American Society for Aesthetic Plastic Surgery
Friday, April 28, 2017

NOTE: The Rhinoplasty Symposium requires separate registration through ASAPS at www.surgery.org/meeting2017