Attendee & Faculty Registration

For questions, please call 847-871-4800 (8:30 a.m. - 5:00 p.m. CT)
Email: controversiesinfo@SAMIworks.net

REGISTRANT Information

Please fill out a separate form for each registrant

Please enter your information as you would like it to appear on your badge, e.g.

For accessibility requirements, food allergies or strict dietary restrictions please email controversiesinfo@SAMIworks.net

CONTACT Information

country code, area code, number

country code, area code, number

country code, area code, number

Receipts, confirmation & evaluation (for CME’s) will be sent to this address, so it MUST be the attendee’s email inbox

Payment Information

Full Payment must accompany registration. Refunds, less a $100 administrative fee, will be allowed for cancellations received in writing or via email on or before July 13, 2020. After that date, no refunds will be permitted.

Attendee:

Residents/Fellows-in-Training/Allied Health Professionals:

Faculty:

CANCELLATION POLICY: There is a handling fee of $100 on all cancellations. Refund requests must be received in writing by mail or email by July 13, 2020. No refunds will be made thereafter.

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