Annual Meeting Registration


2005 Annual Meeting
Nashville, Tennessee
May 19 - 21, 2005


* Denotes Required fields
Name: *
Spouse/Accompanying Persons:
Address: *
City: *
State: *  
Zip: *    
Country: *
Phone: *
Fax:   *
Email:   *
         

Annual Meeting Registration Fees

Fees include scientific program materials, event transportation, Welcome Reception, Friday Dinner, two breakfasts, one lunch and all refreshment breaks.
 
Member: US $350.00
     
Resident/Fellow/Nurse: US $150.00
Sponsoring Member's Name:  
     
Spouse/Accompanying Person: US $150.00
Children (ages 10 to 18): US $35.00  (children under 10 are free)
     
Non-Member: US $400.00
Sponsoring Member's Name:  
     
Thursday Reception: I/We will
  will not attend
     
Friday Dinner: I/We will
  will not attend
     
Saturday Evening: I/We are interested in attending the Grand Ole Opry (for an additional charge)
  would not be interested
     

Payment Information

CREDIT CARD PAYMENTS CANNOT BE ACCEPTED

Make checks payable to: MSTS

Mail payment to: MSTS, Attn: Marla Holderby, c/o VUMC, D-4216 MCN, Nashville, TN 37232-2550

Refunds: The MSTS office must receive written notification of cancellation by April 19, 2005 for a refund less a $100.00 cancellation fee. No refunds after April 19, 2005.
 
  Please check if you require ADA accommodations or special services such as vegetarian or kosher meals.

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