Tuesday Night Cocktail Reception & Dinner Registration
Optional Sign-Up For Those Not Registered For The Meeting Or For Anyone Not Included In Your Sponsorship Or Exhibit Package
You may invite additional associates from your company or guest(s) to the Tuesday night Cocktail Reception & Dinner at an additional cost of $110 per person. Additional dinner registrations are non-refundable after February 3th, 2013.
Please check below for each additional dinners needed for non-registered guests.
Aspen Urological Conference
c/o Barb Werderitch
900 Rand Road, Suite 120
Des Plaines, IL 60016
Phone: (847) 823-3185
Fax: (847) 823-3318
Unfortunately, conference fees cannot be paid by credit card. All conference fees should be received no later than January 24, 2013.
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 Barb Werderitch 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 (847) 823-3185 or e-mail firstname.lastname@example.org.
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