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2017 Clinical Course

Registration Form

Registrations at this time will be charged at the on-site rate.

Please note: 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing is only available for 'Faculty, Industry, or Other' or 'Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician' members who have signed in and have paid their membership dues. Please sign in with your email address or username for access to 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing.

To register, fill out the form below.

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Contact Information

 
 
 
 
 
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Prices

Please note: 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing is only available for 'Faculty, Industry, or Other' or 'Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician' members who have signed in and have paid their membership dues. Please sign in with your email address or username for access to 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing.


Member:
$500 before May 11
$550 on or after May 11
$600 Onsite

Non-member:
$600 before May 11
$650 on or after May 11
$700 Onsite

Resident, Postdoctoral Fellow, PhD Student/Trainee:
$225 before May 11
$250 on or after May 11
$275 Onsite

Nurse/Motility technician:
$300 before May 11
$350 on or after May 11
$400 Onsite

Exhibitor:
$400 before May 11
$400 on or after May 11
$400 Onsite

Please note: 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing is only available for 'Faculty, Industry, or Other' or 'Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician' members who have signed in and have paid their membership dues. Please sign in with your email address or username for access to 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing.

Cancellation Policy

Your registration fee, less a $150 administrative fee, will be refunded if written notification is received by ANMS on or before July 03, 2017 (Fax number: (734) 699-1136). No refunds will be granted after July 03, 2017.

Consent to use Photographic Images & Video

Registration and attendance at the ANMS Meeting and other activities constitute an agreement by the registrant to use and distribution (both now and in the future) of the registrant or attendee's image or voice in photographs, videotapes, electronic reproductions, and audiotapes of such events and activities by ANMS and other third parties, including but not limited to the venue, host city, and the host CVB.

Payment Information

Registrants paying by credit card: Your billing address has to match the address on file with your credit card.


ex. 123-123-1234

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Registration fees


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