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Offline Registration
CONGRESS OF CLINICAL RHEUMATOLOGY
If you perfer to register through mail or through fax, please fill out
the form below and then click print. Please FAX or MAIL THIS PAGE WITH YOUR CREDIT CARD NUMBER and EXPIRATION DATE OR make CHECKS
payable to A & R Educational Group, LLC and place "Congress of Clinical Rheumatology" in the memo field. If using
FAX, add your credit card number and expiration date to the form.
REMEMBER to BOOK YOUR ROOM DIRECTLY WITH THE HOTEL.
Download Offline Registration Form Here
| Symposium Fees | On or before 3/15/10 | After 3/15/10 |
| CCR Physicians Registration Fee | $450 |
$525 |
| CCR Physician DAY Registration SPECIFY DAY(S) __________________ |
$185/day |
$185/day |
| CCR AHP Registration Fee | $400 |
$475 |
| CCR Rheumatology AHP DAY Registration SPECIFY DAY(S) __________________ |
$150/day |
$150/day |
| Retired Physicians | $250 |
$300 |
| CCR Musculoskeletal Ultrasound Course | $850 |
$850 |
| CCR National Young Rheumatologist Investigator Forum | $150 |
$150 |
| Golf Tournament fee - Registrant Saturday afternoon, Baytowne, includes Green Fees |
$125 |
$125 |
| Banquet Saturday Night (Circle One: Surf and Turf / Vegetarian) Max 2 per registrant, 1 hr of CME, Must be registered to attend |
Attending |
Not Attending |
| Banquet Saturday Night - Spouse / Guest (Circle One: Surf and Turf / Vegetarian) |
Attending |
Not Attending |
| Total (Include in total above) |
For the CCR MSK Ultrasound Course: Registration will be limited to 50.
Refund Policy: Your conference registration fee will be refunded (minus a $50.00 processing charge) if we receive notification of your cancellation no later than March 22, 2010. No refunds will be granted for cancellations received after this date.
Cancellation Policy: A&R Educational Group, LLC reserves the right to cancel this conference due to insufficient enrollment or unforeseen circumstances.
6225 Cahaba Valley Road
Birmingham, AL 35242
Phone: (205)991-8996
Fax: (205)991-8997
The form may either be filled out by hand or filled in as a form using Adobe Acrobat Reader and printed out.
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