PAAO - Pan-American Association of Ophthalmology
 
 



 
  XVII Pan-American Regional Course
     - Online Registration
 
  Click here for the Spanish Version of this page
  Registration fees (US $)
  To register more than one person in the 2010 Costa Rica Regional Course, please return to this page, select the appropriate registration category and include the necessary registration information.

Category (select one)

April 1 -
August 1, 2010

After August 1
and Onsite

PAAO Active Member/Life Member*

US$175

US$200

Associate Member/Non-Member**

US$350

US$375

Resident/Fellow (with a letter from the department
        confirming enrollment in a training program)***

US$100

US$125
Companion
US$75
US$75

* PAAO Active member. Ophthalmologist who pays annual fees to the PAAO.
Please note that if you register as a PAAO Active Member but are not current on your membership dues, you will be charged the Active Member registration fee and PAAO membership dues.
** Associate member: Member of national societies affiliated to the PAAO.
*** Must show letter from the training Hospital verifying your residence or fellowship. Otherwise non-member fee will be charged.

Cancellation Policy: Cancellations and reimbursement requests must be made in writing.
  - prior to March 15, 2010, a full refund will be made, less a $50 administrative fee.
  - after March 15, 2010, a reimbursement of 50% of the Registration Fee(s) will be made.
  - after August 1, 2010, no reimbursement of Registration Fee(s) will be made.


Internet registration closes Sunday, August 1, 2010


Please included ALL requested information:


First Name(s) of Registrant :
Last Name(s) of Registrant:

Mailing address:
City: State (US only):
Zip Code: Country:
Telephone: Fax: Email:
PAAO ID Number (if known):
If you would like to download the registration form and send it by fax or email, please use one of the following forms:        DOC form (English)            PDF form (English)
                    DOC form (Spanish)           PDF form (Spanish)
 
 
 
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