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ORTHO-0311

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

Jan. 24-25, 2020

remaining seats: 244

Registration Fees
	$375.00	Non-UTH Ortho Physicians - Early Rate
	$100.00	Non-UTH Ortho Residents/Fellows - Early Rate
	$150.00	Non-UTH Ortho Nurses - Early Rate
	$150.00	Non UTH – PA, PT, AT, AAPC and other Allied Healthcare Professionals - Early Rate
	$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)
	$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)

Additional Options
	$3,000.00	Standard Exhibit Fee - includes 2 free reps
	$5,000.00	Exhibit fee - includes 3 free reps
	$10,000.00	Exhibit fee includes 4 free reps
	$15,000.00	Exhibit fee - includes 5 free reps
	$20,000.00	Exhibit fee - includes 8 free reps
	$150.00	Additional Exhibitor Representatives (cost per person) - Early Rate

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