ORTHO-0311

63rd Edward T. Smith Orthopaedic Lectureship: Emerging Technology in Foot and Ankle Surgery

Registration Fees
	$0.00	UT Health Orthopaedic Physicians, Fellows, Residents, Nurses, Staff and Allied Healthcare Professionals Only
	$0.00	Baylor, Methodist and UTMB Orthopaedic Fellows and Residents Only (proof of residency/fellowship required)
	$200.00	Non UTH – PA, PT, AT, AAPC and other Allied Healthcare Professionals
	$200.00	Non-UTH Ortho Nurses
	$150.00	Non-UTH Ortho Residents/Fellows
	$475.00	Non-UTH Ortho Physicians
	$0.00	Welcome Reception Ticket for Conference Attendee (Cost Included With Registration)
	$35.00	One Welcome Reception Ticket For One Guest Of Attendee (Please Enter The Name Of Your Guest In Your Registration's Comments Box)
	$70.00	Two Welcome Reception Tickets For Two Guests Of Attendee (Please Enter The Name Of Your Guests In Your Registration's Comments Box)

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

University of Florida