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SOAP 2018 Sol Shnider, M.D. Obstetric Anesthesia Meeting Registration Form
Also available as a PDF (111 KB)

March 8-11, 2018 • Grand Hyatt Hotel • San Francisco, California


*Required

ASA Member ID # CRNA /AANA ID #  
* Dr.   Mr.   Mrs.   Ms.   Prof.
*Badge Name (first name to appear on the first line of the badge)
*First Name: MI: *Last Name:
*Credentials: *Specialty:
*Affiliation:  
(Organization)    
*Mailing Address:
*City:
*State/Province:
*Zip/Postal Code:
*Country:
*Business Phone: Cells Phone: Fax:
*E-mail Address:


Is this your first time attending the SOAP Sol Shnider, M.D. Obstetric Anesthesia Meeting?
Yes No, I have attended previously

Which best describes your field of anesthesiology? (Please select one)
Obstetrics Pediatrics Neonatology Perinatology Other

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

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

How did you hear about this meeting? (Please select one)
Email announcement From colleague ASA Email/Website SOAP website
SOAP newsletter AANA Website/Newsletter Other:


SOAP 2018 Sol Shnider, M.D. OBSTETRIC ANESTHESIA MEETING REGISTRATION
(This fee covers Friday through Sunday program tuition and handout materials, light breakfast, coffee breaks, Friday’s lunch, and Friday’s Reception)

Registration Fees Early Discounted Rate Through Jan. 26, 2018 Advanced Reg Rate Through Feb. 23, 2018 ONSITE ONLY After Feb. 23, 2018 Amount
Attendee (Physician/Non-Physician) $695 $745 $795 $
Attendee (CRNA/RN) $620 $670 $720 $
Medical Student $315 $365 $415 $
Resident $315 $365 $415 $
Fellow $315 $365 $415 $
         
SOAP Retired Members and Lifetime
Members Complimentary Registration*
   
* Please note, to qualify for this registration,
you must be a SOAP Retired Member or
Lifetime Member and have 20+ years of
SOAP membership.
$0 $0 $0 $
  One Day Registration (Available Onsite Only) Friday - $300, Saturday - $300, Sunday - $150

 

For Medical Student, Resident, Fellow Only

Institution/Program Name: Program Director Name:
Program Director E-mail:
(Program Directors may be contacted for Medical Student/Resident/Fellow status verification purposes)
PRE-MEETING WORKSHOP REGISTRATION
(The Pre-Meeting Workshop registration is separate and not included in the general registration above)
 
Hands-on Ultrasound for the Obstetric Anesthesia Provider: Cardiac Ultrasound, Hemodynamic Exam, Pulmonary Evaluation, Ultrasound Guided TAP Blocks & Neuraxial Techniques and Basic Fetal Ultrasound Workshop
$325 $

 

Total $

Refund Policy:
Cancellations received in writing through February 23, 2018 will be refunded less a $100 administrative fee. No refunds will be made on cancellations received after February 23, 2018.

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