Rheumatology Winter Clinical Symposium - Meeting Reservation Form

Symposium Registration Form

ALL PARTICIPANTS MUST REGISTER-NAME BADGES
ARE REQUIRED FOR ENTRY TO ALL FUNCTIONS!

* Denotes Required Field

* Name (Last, First, MI):
* Company Name:
* Office Phone:
Fax:
* Email Address:
* Confirm Email Address:
* Mailing Address:
* City:
* State/Province:
* Zip Code:
* Country:
Accompany Person(s) Name(s): (include age if child)	Age Age

RWCS Conference Includes all breakfasts, social functions, coffee breaks		Regular	Late Registration (after Dec 1)	Total Fees
Physician		$495	$595
Physician Package w/(1) additional guest registration		$640	$740
Physician Rheumatology Fellow		$250	$300
RN NP PA Office Personnel RN's must be accompanied by a physician		$350	$400
Additional Spouses and/or Guests	$145	Registration for Spouses and Children include all breakfast and dinner events.
Children (age 10 - 18 years)	$95
Children (under the age of 10)	Complimentary

Lunch and Lecture (12:20 - 1:00 PM)	Will Attend
(Wed) Point - Counterpoint: Lyme disease is under-diagnosed and under-treated. Marty Bergman / Eric Ruderman	Yes	Lunch with Faculty is hosted daily throughout the Conference at no additional charge. Registration Is Required. Please check below the dates on which you plan to attend.
(Thu) Point - Counterpoint: RA patients should be switched among TNF inhibitors before moving to other classes of drugs. Eric Ruderman / Jack Cush	Yes
(Fri) Panel Discussion: Cases from the audience All faculty	Yes
(Sat) Panel Discussion: What was the most important concept in Rheumatology over the past year? All faculty	Yes

Afternoon Workshops (1:30 - 3:00 PM)	Will Attend
Musculoskeletal Ultrasound (Wed) Alvin Wells	Yes	Due to industry support, the workshop fee of $125.00 has been waived. *Advance Registration Required.*
MRI: Optimal Use (Thu) Orrin Troum	Yes
Negotiating with Payors (Fri) Marty Bergman	Yes
Dermatology Procedures for the Rheumatologist (Sat) George Martin	Yes
*Register Early:* Workshop space is limited based on first-come, first served basis. On-site subject to availability. *NOTE:* RWCS reserves the right to cancel any workshop for lack of attendence.

Exhibitor	Early Bird (up to Jun 30)	Regular (up to Nov 30)	Late Registration (after Dec 1)	Total Fees
Additional second or third person (each)	$300	$300	$350
Grand Total Fees

Payment Information:

Cardholder Name:
Payment Type:
Card Number:
Card Expiration Date:
CID:
Payment Amount:	$
Make Checks Payable To:	EIRE, LLC.
Send To:	HTC INTL 333 N. Michigan Ave., STE 1820 Chicago, IL 60601

For any questions, please contact HTC INTL at 312-263-1007
or via email bjohnson@htcintl.com.

Administrative Office:
Rheumatology Winter Clinical Symposium 2008
41 East Lipoa Street, Suite 21 Kihei, HI 96753

Contact:
Phone 858-385-0785 Fax 858-683-2027
Email information.services@r-w-c-s.com