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American Academy of Neurological Surgery
ANNUAL MEETING
The Breakers, Palm Beach, FL
   October 24 to 27, 2018
MEETING & ACTIVITIES REGISTRATION & PAYMENT FORM
 

Please return ALL forms along with a US $ CHECK to the address below OR
register on-line at www.americanacademyns.org 

American Academy of Neurological Surgery
c/o UAB, Department of Neurological Surgery. Attention: Debbie M
FOT 1057, 510 - 20th Street South, Birmingham AL 35264-3410
 

After September 15, 2018, the registration fee increases and refunds are NOT possible for any reason.  Because space is limited, we advise you to register as soon as possible.  Registration is confirmed once check has been received.  Unfortunately golf and Tennis CANNOT be billed to your room and must be paid for in advance.  

 

Name   

 Spouse/Other:  

 
IF NON-MEMBER:             

indicate invited by: 

  
Address:   
Email:     Tel:    Fax:   


FEES
 

 

 

       

Registration fee:
   - Active members, Senior (non-retired),
     Residents, Fellows and guests
        $1,000 (no additional cost for spouse); 
        after September 15 - $1,200
  
- Senior members Retired from active practice  
        $800 (no additional cost for spouse);
        after September 15 - $1,000 

     
               
Wednesday, October, 2018               
Opening Reception at
    Ocean Lawn @ 6:30 pm     
  No Charge    # Persons      
               
Thursday, October 25, 2018               
Spouse - Guest Program at 11:00 am   No Charge    # Persons      
 Afternoon Activities:               
     Yellow Ball Tournament at
        The Rees Jones Golf Club
  $225.00 Each    # Persons      
     Club rental    $95.00 Each    # Persons      
     Box Lunch   $40.00 Each    # Persons      
               
     Charter Fishing   $200.00 Each    # Persons      
               
Evening Reception and Dinner at
    Mediterranean Courtyard at 7:00 pm
  No Charge    # Persons      
                  
               
Friday, October 26, 2018               
Spouse - Guest Program at 11:00 am        No Charge    # Persons      
Afternoon Activities               

    Golf at The Rees Jones Golf Club

 

$225.00 Each 

 

# Persons

     
     Club rental  

$95.00 Each 

  # Persons      
     Box Lunch   $40.00 Each    # Persons      
               
     Charter Fishing   $200.00 Each    # Persons      
               
     Tennis Round Robin Tournament   $80.00 Each     # Persons      
               
Evening Reception and Dinner at
    Venetian Ballroom at 7:00 pm
  No Charge    # Persons