| Please print the following registration form and fax or mail to:
Printable Registration Form
ONLINE REGISTRATION
• Trauma Symposium for Physicians
• Trauma Symposium for Nurses and Physician Assistants
• Trauma Symposium for Advanced Life Support Personnel &
Allied Healthcare Providers*
ATLANTICARE EMPLOYEE ONLINE REGISTRATION
(AtlantiCare Clock-ID required)
•Click Here to Continue
REGISTRATION FEE SCHEDULE
Early Registration
Before April 15th
|
Physician
|
Nursing
|
Advance Life Support Personnel & Allied Healthcare Providers * |
Workshop
ATLS Refresher |
$350
|
N/A
|
N/A
|
AtlantiCare Employees
May 6 or May 7 (One Day of Lecture Series) |
$140
|
$120
|
$80
|
AtlantiCare Employees
May 6 & May 7 (Both days of lecture Series) |
$240
|
$200
|
$160
|
May 6 or May 7 ONLY –
(One Day of Lecture Series) |
$175
|
$150
|
$100
|
May 6 and May 7 –
(Both Days of Lecture Series) |
$300
|
$250
|
$200
|
Late Fee After
April 15 |
$40
|
$40
|
$40
|
|
* Allied Healthcare Provider – Respiratory therapists, physical therapists, & radiology technologists.
Tuition Fees include daily continental breakfast, daily luncheon, coffee/snack breaks, parking, and teaching materials.
Two-week cancellation notice is required for a refund. Course registration fee is refundable minus a $30 administrative fee.
There will be a $25 service charge for all returned checks.
On-site registration will be accepted on a space-available basis.
Credits/Certificates will be provided for the discipline you register for. |
