SOAP 51st Annual Meeting Registration Form

Registration Form - PDF SOAP Fellow Members Annual Meeting Discounted Registration Fee Application - PDF
 
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*Required
* Dr.   Mr.   Mrs.   Ms. SOAP Member ID #
ABA #
ASA Member ID #
*Badge Name (first name to appear on the first line of the badge)
*First Name: MI: *Last Name:
*Degree(s): *Specialty:
*Affiliation:  
(Organization)    
*Mailing Address:
*City:
*State/Province:
*Zip/Postal Code:
*Country:
*Business Phone: Mobile Phone: Fax:
*E-mail Address: Twitter Handle:

*Is this your first time attending the SOAP Annual Meeting?
Yes No

Which of the following best describes your medical practice environment? (Please select one)
Academia Consulting Hospital-based Large Group Practice
Private Practice Retired Other

Special Needs
I will require special accommodations (also contact the SOAP Administrative Office at info@soap.org or 414-389-8611)
Please check here for vegetarian meals
Please check here for kosher meals
Please check here for gluten-free meals

*How did you hear about this meeting? (Please select one)
Email Announcement From Colleague Journal Ad SOAP Member
Another Society’s Website/Newsletter Other:


Registration Fees*

General Registration includes one ticket to the Welcome Reception, Continental Breakfasts, Breaks, Friday Lunch and T-shirt.

SOAP Member Fees Early Discounted Rate
Through April 5, 2019
Advanced Reg Rate
Through April 19, 2019
ONSITE ONLY
After April 19, 2019
Amount
SOAP Member $745 $795 $845 $
SOAP Fellow**
**SOAP Fellow Members who do not receive departmental funds for educational purposes from their institution or hospital may be eligible for a discounted rate until April 5, 2019. Please find a link to the application form at the top of this form.
$545 $570 $595 $
SOAP Resident $345 $370 $395 $
SOAP Medical Student $345 $370 $395 $
SOAP Retired Members
Please note, to qualify for this registration, you must be a SOAP Retired Member and have 30+ years of SOAP Membership.
$345 $370 $395 $
SOAP Non-Member Fees Early Discounted Rate
Through April 5, 2019
Advanced Reg Rate
Through April 19, 2019
ONSITE ONLY
After April 19, 2019
Amount
OASAO, OAA, SMFM, NASOM Member (SOAP Non-Member) $845 $895 $945 $
Non-Member $945 $995 $1045 $
Two Day Registration Early Discounted Rate
Through April 5, 2019
Advanced Reg Rate
Through April 19, 2019
ONSITE ONLY
After April 19, 2019
Amount
Saturday-Sunday Clinical Track (SOAP Member or Non-Member)
The Clinical Track and Sunday are included in the general registration fees.
$395 $395 $395 $
One Day Registration (Available onsite only)
Thursday, Friday, Saturday or Sunday
$345
 

Special Registration Fees - Middle and Low Income Countries (World Bank Classification)

Attendees are eligible for ‘middle income country’ registration providing they meet all the following criteria:

  • Reside in a country in the ‘Middle and Low Income Countries’ category
  • Working (or previously working) in a country in the ‘Middle and Low Income Countries’ category
  • Have a postal address a country in the Middle and Low Income Countries’ category which is detailed at time of registration

SOAP Member and Non-Member Physician
  $520 $
SOAP Member and Non-Member Resident/Fellow/Student   $520 $

World Bank Classifications (2019)



Middle Income Countries*

Attendees are eligible for ‘middle income country’ registration providing they meet all the following criteria:

  • Reside in a country in the ‘middle income country’ category
  • Working (or previously working) in a country in the ‘middle income country’ category
  • Have a postal address a country in the ‘middle income country’ category which is detailed at time of registration
Albania
Algeria
American Samoa
Angola
Armenia
Azerbaijan
Bangladesh
Belarus
Belize
Bhutan
Bolivia
Bosnia and
Herzegovina
Botswana
Brazil
Bulgaria
Cabo Verde
Cambodia
Cameroon
China
Colombia
Congo, Rep.
Costa Rica
Côte d’Ivoire
Cuba
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt, Arab Rep.
El Salvador
Equatorial Guinea
Fiji
Gabon
Georgia
Ghana
Grenada
Guatemala
Guyana
Honduras
India
Indonesia
Iran, Islamic Rep.
Iraq
Jamaica
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kyrgyz Republic
Lao PDR
Lebanon
Lesotho
Libya
Macedonia, FYR
Malaysia
Maldives
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Fed. Sts.
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Namibia
Nicaragua
Nigeria
Pakistan
Palau
Papua New Guinea
Paraguay
Peru
Philippines
Romania
Russian Federation
Samoa
São Tomé and Principe
Serbia
Solomon Islands
South Africa
Sri Lanka
St. Lucia
St. Vincent and the
Grenadines
Sudan
Suriname
Swaziland
Thailand
Timor-Leste
Tonga
Tunisia
Turkey
Turkmenistan
Tuvalu
Ukraine
Uzbekistan
Vanuatu
Venezuela, RB
Vietnam
West Bank and Gaza
Zambia


Low Income Countries

Attendees are eligible for ‘low income country’ registration providing they meet all the following criteria:

  • Reside in a country in the ‘low income country’ category
  • Working in a country in the ‘low income country’ category
  • Have a postal address a country in the ‘low income country’ category which is detailed at time of registration
Afghanistan
Benin
Burkina Faso
Burundi
Central African Republic
Chad
Comoros
Congo, Dem. Rep.
Eritrea
Ethiopia
Gambia, The
Guinea
Guinea-Bissau
Haiti
Korea, Dem. Rep.
Liberia
Madagascar
Malawi
Mali
Mozambique
Nepal
Niger
Rwanda
Senegal Sierra Leone
Somalia
South Sudan
Syrian Arab Republic
Tajikistan
Tanzania
Togo
Uganda
Yemen, Rep.
Zimbabwe

* T-Shirt (included in registration fee) Please indicate size:
Small   Medium   Large   XL   XXL   I do not want a t-shirt
  Additional shirts may be purchased onsite for $10 while quantities last.
   
Guest(s) Registration Fee       Amount
General Adult Guest Registration        

General Adult Guest Registration includes one ticket to the Welcome Reception, Fitness Activities and a t-shirt.

Number of adult guest(s)    
x $150 =
$
Name(s) of spouse/adult guest(s)
 
T-Shirt (included in registration fee) Please indicate size:
Small   Medium   Large   XL   XXL   I do not want a t-shirt
  Additional shirts may be purchased onsite for $10 while quantities last.
 
General Children (under 18 years) Guest Registration
Age(s) of children
   
Name(s) of children
Number of children x $20 $
Registration Fees Subtotal $
 
Special Sessions   Amount
Wednesday, May 1, 2019    
Morning Make or Break Leadership Lessons for Labor and Delivery Workshop, 8:00 a.m. - 12:00 p.m.
$195 $
Morning The Use of Ultrasound in Obstetric Anesthesia Workshop: Vascular Access, Neuraxial Anesthesia, TAP Block, Airway and Gastric Assessment,, 8:00 a.m. - 12:00 p.m.
(limited to 45)
$295 $
Afternoon Focused Cardiac Ultrasound in the Management of the High Risk Parturient Workshop , 1:00 - 5:00 p.m
(limited to 32)
$295 $

Afternoon Becoming the Best Version of Ourselves: Overcoming Challenges with Resilience and Connection Workshop, 1:00 - 5:00 p.m.

$195 $
Afternoon Obstetric Anesthesia Crisis Resource Management Course, 1:00 - 5:00 p.m.
(limited to 20)
$295 $
Afternoon Chinese Symposium on Obstetric Anesthesia, 1:00 - 5:00 p.m.
Complimentary
Complimentary $0
Thursday, May 2, 2019    
Problem-Based Learning Discussion Lunch - Management of the Obese Parturient, 12:15 - 1:15 p.m.
$90 $
  Rivanna Lunch Session: Neuraxial Placements in Challenging Patient Populations Using the Accuro© Handheld Spinal Navigation Device, 12:15 - 1:15 p.m.

Please Register Through Rivanna: https://rivannamedical.com/soap-session/
   
Saturday, May 4, 2019    
Lunch Lesson: Adjuncts in Postpartum Hemorrhage - How Do We Use Them?, 12:30 p.m. - 1:30 p.m.
$90 $
   
Special Sessions Subtotal $
 
Social Events    
Welcome Reception, Wednesday, May 1, 2019, 6:00 – 8:00 p.m.

*One ticket is included in the Full SOAP Conference Registration for attendees and one ticket
is included in the Guest Registration fee.
Additional tickets needed x $95 $

Golf Outing, Friday, May 3, 2019, 2:30 p.m. (Deadline to Register is April 1st)

Approximate Handicap Information (Optional)

   

Names of Attendees Who Will Be Playing Golf (in addition to yourself)?

 

List Up to 3 Partners You Would Like to Play With (Optional)


$125 $
   

SOAP Annual Meeting Banquet, Saturday, May 4, 2019, 6:00 p.m. - 10:00 p.m.

I will attend the SOAP Banquet

Number of adults x $75

Number of children under 18 years x $25
$

$
   
Social Events Subtotal $
 

Optional Fitness Event

Boot Camp, Friday, May 3, 2019, 6:15 - 7:15 a.m.  
I will attend this event. Complimentary number of people
$0
   
Foam Rolling/Stretch, Saturday, May 4, 2019, 6:45 - 7:45 a.m.  
I will attend this event. Complimentary number of people
$0
Special Sessions, Social Events, Informal Social Event and Optional Fitness Event Subtotal $
 
Grand Total $

Cancellation Policy
Cancellations received in writing through April 19, 2019 will be refunded less a $100 administrative fee. No refunds will be made after April 19, 2019.

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