Annual Meeting Registration Form

 

*specifies required

Annual Meeting Registration Form

The Rhinoplasty Society Annual Meeting 2018

Thursday, April 26, 2018 – Marriott Marquis, New York, NY
Advance Registration Deadline – March 26, 2018

THIS REGISTRATION FORM IS FOR THE ANNUAL MEETING
ONLY ON THURSDAY, April 26, 2018

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

*Specialty: Plastic SurgeryFacial Plastic SurgeryOTO/ENT

Address:

City: State: Zip:

Country:

Phone:

*Email:

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

By March 25th March 26th - April 26th
Members $445 $495
Non-members $500 $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 by Check

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

Make checks payable to, and Mail to:
The Rhinoplasty Society, P.O. Box 441745, Jacksonville, FL 32222
International Checks must be BANK DRAFTED in US FUNDS.

– Cancellation Policy –

By March 26, 2018 – Full Refund
March 27th – 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 27, 2018

NOTE: The Rhinoplasty Symposium requires separate registration through ASAPS at www.surgery.org/meeting2018