AIMS 2023 User Conference - October 15-18 - TradeWinds Island Resort, St. Pete Beach, FL Please complete our User Conference registration form (* indicates required) Name* Hospital or Organization* Title* Department* Email* Phone* Address Address 2 City State/Province —Please choose an option—ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYABBCMBNBNLNSNTNUONPEQCSKYT Zip/Postal Code Country* Are you planning to attend the dinner reception on Sunday, October 15 at 6:00 pm? YesNo Please List Any Dietary Needs or Restrictions (such as Vegetarian or Allergies) AIMS 3 Training Sessions Would you like to receive a one hour AIMS 3 training session on Wednesday 10/18? Training is $100/per person, per session Yes, I would like a training session Preferred training time: 12:00pm to 1:00pm1:00pm to 2:00pm Note: A box lunch is included with the training. User Conference Price is $695 (USD) Per Person Please Indicate How You Would Like To Pay* Check Will Be MailedI Will Call With A Credit CardPO Will Be Issued Receive a 15% discount if paid by July 15, 2023 Receive a 10% discount for groups of 6 or more NOTE: Only one discount per registration may be used. Discounts may not be combined. Cancellations on or prior to September 14, 2023 receive 100% refund; cancellations on or after September 14, 2023 forfeit the full conference fee of $695. I agree to the terms of this cancellation policy * Δ