Name* Hospital or Organization* Title* Department* Email* Phone* Dietary Restrictions Please List Any Dietary Needs or Restrictions (such as Vegetarian or Allergies) 40th Anniversary T-Shirt (included) T-Shirt Size* 3XL2XLXLLMSXS Payment I Will Call With A Credit Card (preferred)PO Will Be Issued (preferred)Check Will Be Mailed Conference Registration: $835 per person Receive a 25% discount for registrations paid by July 15, 2025 Receive a 25% discount for groups of 6 or more NOTE: Only one discount per registration may be used. Discounts may not be combined. Cancellation Policy Cancellations received on or before September 30, 2025, will be eligible for a full refund. No refunds will be issued for cancellations made after this date. To request a cancellation, please contact us at (800) 541-2467. I agree to the terms of this cancellation policy* After submitting, you should receive an email confirmation from no-reply@goaims.com. If you do not receive this confirmation, please have your IT department check for it on your spam filter. Δ
