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OEIS 2018 ANNUAL MEETING Registration

OEIS Fifth Annual Meeting
April 20-21, 2018
Fairmont Scottsdale Princess
7575 East Princess Drive, Scottsdale, AZ 85255

Registration Fees:Early Bird (by Mar 15st)Regular
Physicians Members$395$495
Physicians Non-Members$495$595
Mid-level providers (PA/ARNP/other practitioners)$395$495
Associated Staff Members (RN, Marketing, Clerical, etc.) $195$295
Residents/Fellows/StudentsResidents, fellows, and students can receive free admission. Please submit a letter of recommendation from your program director to: admin@oeisociety.org
Extra Badge for Registered Exhibitors$100$100
*Select Fee:  Physicians Members
 Physicians Non-Members
 Mid-level providers (PA/ARNP/other practitioners)
 Associated Staff Members
 Residents/Fellows/Students
 Extra Exhibitor Badge
Prefix:
*First Name:
*Last Name:
*Specialty
If OTHER:
Title:
*Email:
Practice Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
*Credit Card Type:  AMEX
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*Credit Card Number:
*Credit Card Exp Mo/Yr  / 
*Credit Card security Code:
 
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