Instructions:
1 - Select the registration type and complete the registration information and click "Add To Cart". After the Paypal window opens, return to this window for other registrations, if needed.
2 - If desired, add the Casino Night option to your cart.
3 - Complete the payment process in the Paypal window. You will be asked for your credit card number or your Paypal ID. Your receipt will be an email from Paypal.

If you prefer, you can register by phone at 978-373-5597, or fax/mail your reigistration using this form

Full Conference Program click here


REGISTRATION (* indicates required field):
Registration Type* (Select One):    
 
 
Full Conference - NECOEM/ACOEM MD Members
$400.00
 
Full Conference - MD Non-Members
$400.00
 
Full Conference - RNs/PAs/NPs, Other professionals
$335.00
 
Full Conference - Residents/Nursing Students
$120.00
 
 
 
One Day: Dec 1 only - MD's
$230.00
 
One Day: Dec 1 only - RNs/PAs/NPs, Other professionals
$200.00
 
One Day: Dec 1 only - Residents/Nursing Students
$80.00
 
 
 
One Day: Dec 2 only - MD's
$225.00
 
One Day: Dec 2 only - RNs/PAs/NPs, Other professionals
$190.00
 
One Day: Dec 2 only - Residents/Nursing Students
$60.00
 
   
Registrant Name*
Credentials*
Affiliation* (if none, enter NA)
If you do not have an affiliation, please enter your preferred address:
Affiliation Address* - street address
Affiliation Address - line 2 (optional)
Affiliation Address* - city, state, zip, country

Enter your registration information above and press "Add to Cart."


        
MAAOHN Casino Night - $40.00
December 1,  7-10 PM




After all selected items appear in you Paypal cart, complete the payment portion

If you prefer, you can register by phone at 978-373-5597, or fax/mail your reigistration using this form

 

 

Registration using Paypal is the same cost as by mail or fax.  Use of Paypal is free and secure.

YOUR REGISTRATION CONFIRMATION IS THE EMAIL FROM PAYPAL (following secure Paypal purchase, you will be sent an immediate confirmation of payment by email from Paypal). NECOEM will not be contacting you further unless there are program changes.  Advance registration is advised.  Any registration received, regardless of payment type or status, is considered to be a commitment to pay for dinner and to attend.



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This page was last modified on 6/10/2011
© 2011 New England College of Occupational and Environmental Medicine