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

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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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