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 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
