AIMS 2022 User Conference - October 16-19 - New Orleans, LA Please complete our User Conference registration form (* indicates required) Name* Hospital or Organization* Title* Department* Email* Phone* Address Address 2 City State/Province ---ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYABBCMBNBNLNSNTNUONPEQCSKYT Zip/Postal Code Country* Please List Any Dietary Needs or Restrictions (such as Vegetarian or Allergies) Are you planning to participate in the group activity on Sunday, October 16? YesNo Superior Analytics Review Would you like to receive a complementary review of your AIMS database to benchmark your data to that of your peers? Yes, I would like a Superior Analytics Review (Please note: This review requires you to provide us a complete copy of your database 2 - 3 months before the conference) User Conference Price is $675 (USD) Per Person Please Indicate How You Would Like To Pay* Check Will Be MailedContact Me For Credit CardPO Will Be Issued Cancellations on or prior to September 13, 2022 receive 100% refund; cancellations on or after September 14, 2022 forfeit the full conference fee of $675. I agree to the terms of this cancellation policy * Δ
