Society for Neuro-Oncology Conference Registration ~ Fifth ...
Society for Neuro-Oncology – 24th Annual Scientific Meeting and Education Day
November 20 – 24, 2019 – Phoenix, Arizona
(please print clearly)
|Last Name |First Name |Middle Name or Initial |Degree |
|Institution |Department |
|Street Address |Gender (optional) |
|City |State or Province |Postal Zip Code |Country |
|Telephone |Fax |Email |
|Specialty: ( BS-Basic Science ( ST-Biostatistics ( EP-Epidemiology ( MO-Medical Oncology ( NO-Neuro-Oncology ( |
|NS-Neurosurgery |
|( NU-Nursing ( PA-Pathology ( PE-Pediatrics ( PS-Psychology ( RO-Radiation Oncology ( RA-Radiology ( Other |
|_______________ |
|Require assistance with hearing, vision or mobility? |Other information regarding this registration? |
2020 SNO Membership Full Membership $485
(new or renewal) Trainee Membership $ 95 $________
Neuro-Oncology Review Course - Nov. 20, 2019
Before 09/13 Before 11/11* Full Registration $ 240 $ 290
Trainee/Allied Health
Registration $ 95 $ 145 $_________
Brain Tumor Research Dinner – November 20, 2019
Before 9/13 Before 11/11*
All attendees $ 45 $ 45 $__________
__________________________________________________________________________________
Education Day - Nov. 21, 2019
Before 09/13 Before 11/11*
Members $ 235 $ 255
Nursing, allied health $ 115 $ 130
Non-members $ 430 $ 460
Trainee Members $ 45 $ 65
Trainee Non-members $ 65 $ 85 $____________
Scientific Meeting - Nov. 22 – 24, 2019
Before 09/13 Before 11/11* $________
Members $ 625 $ 695
Nursing, allied health $ 415 $ 465
Non-members $1250 $1295
Trainee Members $ 200 $ 250
Trainee Non-members $ 295 $ 345
See next page for accompanying person’s registration, gala tickets, total, and payment information.
Additional Guest Registration for meals/social events: $350/guest # ______ $________
Includes daily breakfasts/box lunches, and welcome reception for guests of conference attendees.
Does not include scientific sessions or gala dinner
Guest name(s) for name badge(s)___________________________________________________________________
____________________________________________________________________________________
Saturday Evening Gala Dinner # tickets @$110 _____ $________
Limited availability, tickets may not be available onsite
TOTAL (*note that online pre-registration closes on 11/11/19. After this, onsite charges will apply) $________
PAYMENT
MasterCard, VISA, American Express #_______________________________________ Sec. Code _________ Exp. Date ___ / ____
Name as it appears on card ____________________________________________ Signature ________________________________
Mail Completed form to: SNO, PO Box 273296. Houston, TX 77277-3296 or fax to 713-583-1345
Questions? Contact Linda Greer, linda@soc-neuro- or 346-980-6935
-----------------------
Includes course materials, continental breakfast,
and box lunch
Includes course materials, buffet dinner and beverages
Includes course materials, continental breakfast
and box lunch
Includes course materials, daily continental breakfasts, box lunches, and welcome reception
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