Attendee Registration

If you choose you can download a .pdf version of this form and mail or fax it in instead of filling it out online by clicking here.
Yes, I will attend as a: On/before October 31 After October 31
  FSO/HSN and/or FSFPRS Member or Applicant N/C $50
  Resident Physician in a FL Training Program N/C $50
  Non Member Physician $400 $450
Contact Info
Name:    MD  DO Other (Please indicate)
Email:
Office Address:
City ST, Zip:
Office Phone:  Fax:
 
Education Sessions
I plan to attend lectures on the following days (*Note below and see full agenda for activity details):
 Friday, November 14 1:15 - 5:10 pm (* FSO/HNS Business Meeting 5:10 - 5:40 pm)
 Saturday, November 15 8:00 am - 1:10 pm (* NFO Presentations 8:00-10:00 am)
 Sunday, November 16 8:00 - 11:10 am (* FSFPRS Business Meeting 7:30 - 8:00 am)
Activities
I/we plan to attend the:

Friday, November 14, 6 - 7:30 pm
 Cocktail reception in the Exhibitor Hall # attending
 Children's Craft Room # attending
 Tween Movie Room # attending
 
Saturday
 Golf Tournament, Saturday afternoon, November 15, 1:30 pm. PLEASE NOTE: All golf fees will be the responsibility of the player, paid directly to the course pro-shop prior to the start of the tournament. If you cancel inside of 48 hours, your room account will be charged.
Name and Hcp Name and Hcp
Name and Hcp Name and Hcp
 Cocktail party - Alfresco, Saturday, November 15, 6 - 7:30 pm
# Attending adults children (12 and under)
Sunday
 Family Brunch and Awards Presentation, Sunday, November 16, 11am - 12 pm
# Attending adults children (5-12) children (4 and under)
 
Rooms have been blocked at the Ritz-Carlton for those needing overnight accommodations. Costal view rooms are $249 per night plus tax, single or double occupancy. Reserve your rooms by calling (239) 598-3300 and book under the Florida Society of Otolaryngology room block which expires on September 29, 2008.

UPDATE: The Ritz Carlton Beach Resort, Naples, is currently sold out and all rooms within the FSO/HNS room block have been reserved, HOWEVER, we have secured an additional small block at the Ritz-Carlton Golf Resort, Naples (where the FSO/HNS golf tournament will be held), very close by and equally beautiful. There is a shuttle that runs every half hour, 6:30am-11:00pm daily between the two resorts.

Call 239-593-2000 to reserve a room at the Ritz-Carlton Golf Resort, Naples on the FSO/HNS block.

 
For security purposes, please type the letters/numbers that you see in the image into the box below.


If your registration requires payment, you will be taken to a payment page to complete this registration.
This registration will go directly to Maryann McGrail, the FSO/HNS Director of Education.
If you have any questions, you can contact her at maryann@theassociationcompany.com or 404-310-5866.

 
 
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