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Online Registration
About AIM

 

 

 

  Online Registration

All Attendees - whether or not paying a registration fee - should complete and submit this form online.

Meeting Registration Fee: There is NO Registration Fee for AIM Members, including AIM Associate Members, attending the Annual Meeting but there is a Flat $100 Registration Fee per person for Non-Members attending.  Continental Breakfast and Lunch are included in the Registration Fee.  

Those paying Registration Fees should FIRST 1) Complete this Online Form; NEXT 2) Print a copy of this form; THEN 3) Press the "Submit" button below filing your registration online with us. Postal mail the printed form along with a check payable to Administrators in Medicine to the AIM Treasurer at the address below.  We will also accept checks on site if you wish to hand carry your check but you must register online.

Mail Checks - Payable to Administrators in Medicine - to AIM Treasurer Trey Delap, Deputy Executive Director, Nevada State Board of Osteopathic Medicine, 2860 E. Flamingo Rd., Suite G, Las Vegas, NV 89121

Meeting Registration Fee Refunds: All cancellations must be in writing.  Individuals who cancel more than 15 business days prior to the meeting are entitled to a refund of their registration fee, less a $30 processing charge. Cancellations made within 15 business days of the meeting are non-refundable.

Thank you.

Name & Title

Organization

Address2

City

State/Province

Zip

Country

e-mail

Phone

List Names of Other Attendees & Titles Here - Note amount paid and whether all should be included in the meal count. Thank you.