Ophthalmic Imaging Registration
Registration is limited, so please register early.
Date
December 1, 2012: 7:30 am – 6:00 pm
Location
The Breakers
One South County Road
Palm Beach, Florida 33480
Telephone: (561) 655-6611
Toll-free Reservations:
(888) BREAKERS (273-2537)
Facsimile: (561) 659-8403
www.thebreakers.com
Conference Fees
Registration rate is $250. Conference fees include course materials, continental breakfast, lunch, coffee breaks and cocktail reception on Saturday night.
Cancellation Policy
Conference tuition, less a $100 cancellation fee, is refundable if notice is received by November 1, 2012. Cancellations received on or November 2, 2012 will not be refunded.
Services for the Disabled
If special arrangements are required for an individual with a disability to attend this conference, please contact Marili Rivera at 305-326-6110 by November12, 2012.
Registration Options
Register by Fax
Complete this registration form with your credit card payment and fax to (305) 326-6518
Register by Mail
Please complete this registration form and return with your check or credit card payment to:
Bascom Palmer Eye Institute
Continuing Medical Education
1120 NW 14th Street, Suite 1563,
Miami, FL 33136
(Attn: Marili Rivera)