Continuing Medical Education

Symposium registration fees include conference materials, 3 breakfasts, 2 lunches, and breaks [for participants only].
If purchasing a companion meal package, please include companion name in the comments section during registration.

Please contact Sarah Stillwell for additional information: sarah.stillwell@jax.ufl.edu or 904.244.4372

Exhibitor Contract: http://msbd.cme.ufl.edu/exhibits/

Refund/Cancellation Policy
A full refund will be given for written cancellations received on or before January 13, 2014. Refunds after this date and up to January 23, 2014 will be subject to a $50.00 processing fee. NO REFUNDS WILL BE GIVEN AFTER JANUARY 23, 2014 . Substitutions are allowed with advance notice. In the event of postponement or cancelation, a full registration refund will be given. The University of Florida is not responsible for travel arrangements, travel fees, or any expenses incurred by you as a result of such a cancellation. If the University of Florida cancels this event, you will be contacted at the email address you provided when registering, so please be sure to provide a valid email address. Refund and/or substitution requests must be received in writing by email or fax. Failure to appear for the event will result in forfeiture of the entire course fee.

Registration Fees
	$450.00	Physician
	$375.00	ASBD/ISBP Members
	$250.00	Non-Physician
	$225.00	UF/Military Physician ISC-RAM
	$125.00	UF/Military/ISC-RAM Non-Physician
	$75.00	UF/Military/ISC-RAM Resident/Fellow
	$150.00	Resident/Fellow (non-UF)
	$50.00	Thurs. 1-4 PM UF/Military Pre-Symposium Workshop: Difficult to Diagnose Cases in Breast Pathology (UF Employees/ISC-RAM)
	$100.00	Thurs. 1-4 PM Pre-Symposium Workshop: Difficult to Diagnose Cases in Breast Pathology
	$50.00	Thurs. 1-4 UF/Military PM Pre-Symposium Workshop: Current Challenges in Breast Imaging Interpretation (UF Employees/ISC-RAM)
	$100.00	Thurs. 1-4 PM Pre-Symposium Workshop: Current Challenges in Breast Imaging Interpretation
	$50.00	Thurs. 1-4 PM UF/Military Pre-Symposium Workshop: Breast Cancer Risk and Genetic Testing in the Modern Era (UF Employees/ISC-RAM)
	$100.00	Thurs. 1-4 PM Pre-Symposium Workshop: Breast Cancer Risk and Genetic Testing in the Modern Era
	$150.00	One-Day Registration Fee
	$300.00	2 Days only
	$0.00	UF Resident (Dept Funded)
	$0.00	UF Resident Thurs. 1-4 PM Pre-Symposium Workshop: Difficult to Diagnose Cases in Breast Pathology Dept Funded

Additional Options
	$150.00	Companion Meal Package (Includes 3 breakfasts, 2 lunches)
	$100.00	Valentine Dinner Dance
	$100.00	Valentine Dinner Dance - Guest 1
	$100.00	Valentine Dinner Dance - Guest 2
	$100.00	Valentine Dinner Dance - Guest 3
	$2,000.00	Exhibitor - Gold
	$1,500.00	Exhibitor - Silver
	$1,000.00	Exhibitor - Bronze
	$0.00	Exhibit Rep

University of Florida

Continuing Medical Education

19th Annual Multidisciplinary Symposium on Breast Disease

Feb. 13-16, 2014

remaining seats: 385

Registrant Information
Medical License Number *	Required (please enter “N/A” if not applicable)