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American Academy of Neurological Surgery
ANNUAL MEETING
The Inn at Spanish Bay, Pebble Beach, CA
     Wednesday, November 3 to Saturday November 6, 2010

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
Attn: Stephanie Neilson
Division of Neurosurgery, Suite 1504
Hospital for Sick Children
555 University Avenue
Toronto, Ontario, Canada M5G 1X8   Phone: 416-813-8441  FAX: 416-813-4975

 

After August 5, 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 registration fee has been received.  Golf CANNOT be billed to your room at the Breakers 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 and guests
        $800 (no additional cost for spouse); 
        after August 20 - $1,000
  
- Senior Retired American Academy members (per by-laws) 
        $400 (no additional cost for spouse);
        after August 20 - $500

     
               
Wednesday, 11/03/10            
*Opening Reception – 6:00 PM   No Charge   # Persons    
             
Thursday, 11/04/10              
Spouse/Guest Event   No Charge   # Persons    
   Pebble Beach Historian Neil Hotelling              
               
Afternoon Activities:              
Point Lobos State Park  

$125 Each

 

# Persons

   
Winery Tours  

$200 Each

 

# Persons

   
Horseback Riding   

$75 Each

 

# Persons

   
Tennis (per court per 1.5 hrs)  

$60 Each

 

# Courts

   
       Racket Rental/day  

$15 Each

 

# Rackets

   
Golf:              
Pebble Beach (12 slots @12:40PM)   

$495 Each

 

# Persons

   
     Box Lunch  

$36 Each

 

# Persons

   
Spyglass Hill (20 slots @12:20PM)  

$350 Each

 

# Persons

   
     Box Lunch  

$36 Each

 

# Persons

   
           
*Evening Reception & Buffet - 6:30pm No Charge   # Persons    
             
Friday, 11/05/10              
Spouse/Guest Event   No Charge   # Persons    
   Academy Book Club              
             
Afternoon Activities              
Bike Tour, 17 Mile Drive  

$95 Each

 

# Persons

   
Sea Kayaking  

$100 Each

 

# Persons

   
Whale Watching Cruise  

$35 Each

 

# Persons

   
Tennis (per court per 1.5 hrs)  

$60 Each

 

# Courts

   
Golf – Spanish Bay (28 slots @ 12 Noon)  

$260 Each

 

# Persons

   
     Box Lunch  

$36 Each

 

# Persons

   
             
*Evening Reception and Dinner - 6:30   No Charge   # Persons    
     (black tie optional)