HOME | Photos | Getting to Aspen | Terrain Map   February 6-10, 2012  
Registration
Register and Pay by Check
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Conference Registration is $750 per person
This conference has limited enrollment and is available on a first come, first served basis.
Registration fee refunds will only be granted prior to January 13, 2012.

There is a 10% discount for CUS or LUGPA members paying by check!

Tuesday Night Cocktail Reception & Dinner Registration
Optional sign-up for those not registered for the meeting
You may invite your guest(s) to the Tuesday night Cocktail Reception & Dinner at an additional cost of $100 per person. Additional guest dinner registrations are non-refundable after February 2, 2012.

Please check below for each additional dinners needed for non-registered guests.

Dinner @ $100
Dinner @ $100
Dinner @ $100
Dinner @ $100
Dinner @ $100
    *Total Conference Fees Due:
       
Please make check payable to Aspen Urological Conference and mail to the following address:

Aspen Urological Conference
c/o Jeannette Sofia
4616 Grand Ave.
Western Springs, IL  60558

All conference fees should be received no later than January 26, 2012.

You may print out this page before you hit the "Submit" button. After hitting the "Submit" button, you will see a confirmation of the information you sent to us.  An e-mail confirmation from Jeannette Sofia will be sent to you in January confirming your registration details.

If you have any changes or cancellations after submitting this form, DO NOT submit another form. For assistance, call Jeanette Sofia at (708) 216-5100 or e-mail aspenuro@gmail.com.

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