Register Now! - Thomas Jefferson University

Register Now!
The 35 Annual Advances in Gastroenterology Conference
th
Saturday, June 20, 2015 * Sheraton Atlantic City Hotel and Convention Center
REGISTER ONLINE
http://jeffline.jefferson.edu/jeffcme/gicme/events.cfm
____________________________________________________________________________________  Male
Last Name
First Name
MI
 Female
________________________________________________________________________________________________
Title (Dr, Mr, Ms.)
Personal Title (II, Jr)
Degree (MD, MSN, BSN, MBA, PhD, etc)
Specialty
________________________________________________________________________________________________
Affiliation/Organization
Mailing Address
________________________________________________________________________________________________
City
State
Zip
________________________________________________________________________________________________
Telephone  Work Home Cell
Fax
Email
___ ____ ____ _____
Web ID (Please provide the last four digits of your Social Security Number as your Web ID. This will allow you to access your
CME transcript at any time after the course.)
Are you a Jefferson Alum?
 Yes  No
If yes, what year? ___________
 Please do not include me in upcoming events mailing lists.
If you have any special needs, please contact the Office of CME by June 12, 2015 at 1-888-JEFF-CME
or 215-955-6992.
_________________________________________________________________________________________________________________________
Registration Fees – **NEW THIS YEAR!**
Registration Deadline - June 17, 2015
EARLY BIRD REGISTRATION (before or on 5/22/15)
REGISTRATION (after 5/22/15)
$150 Practicing Physician
$95 Nurse or Allied
Health Professional
$175 Practicing Physician
$120 Nurse or Allied
Health Professional
$95 Retired Physician
$50 Non Jefferson
Resident or Fellow
$120 Retired Physician
$75 Non Jefferson
Resident or Fellow
Fax registration form to: (215) 923-3212
Mail:
(please make check payable to Sidney Kimmel Medical College, Office of CME)
35th Annual AIG
Sidney Kimmel Medical College
Office of CME
1020 Locust Street, Suite M-5
Philadelphia, PA 19107
PAYMENT: Please make check payable to Sidney Kimmel Medical College, Office of CME, or provide Credit Card
Information. Do not send cash. Registration will not be processed unless full payment is received.
□ Check is enclosed. Check Number: ___________ Amount $ _____________
I hereby authorize use of my: □ Visa □ Mastercard
Account Number: ___________________________________________________ _____ Exp Date: ___________
Billing Address (of different from above):
______________________________________________________________________________
Cancellation/Refund Policy
Requests for refunds must be submitted in writing and received in the Office of CME by
June 13, 2015. There will be no refunds after this date. There will be a $50.00 processing fee for all
refunds. All refunds will be processed after the conference. Registrants who fail to attend the
conference are responsible for the entire fee. The University reserves the right to cancel or postpone
this course due to unforeseen circumstances. In the event of a cancellation or postponement, the
University will refund registration fees, but is not responsible for related costs or expenses to
participants, including cancellation fees assessed by hotels, airlines or travel agencies.
Accommodations
Sheraton Atlantic City Convention Center Hotel*
Two Convention Boulevard
Atlantic City, New Jersey 08401
Room Rate: Singles/Doubles . . . . . . . . . . . $149.00 (plus tax)
To make reservations, please call the Sheraton Hotel reservations department at 1-888-627-7212 or
1-800-325-3535 and reference the “Advances in Gastroenterology” group in order to be offered the
special rate. Reservations must be received no later than May 29, 2015. Online hotel reservations
can be made by accessing the following website:
https://www.starwoodmeeting.com/Book/gastroenterology2015.
*Smoke Free Policy: The Sheraton Atlantic City Convention Center Hotel is a smoke free hotel. To
protect the smoke free environment, Hotel will post a $200 cleaning fee to the account of any guests
who smoke in their guest room.
For complete information about hotel arrangements, please visit our website at
http://jeffline.jefferson.edu/jeffcme/gicme/events.cfm
Traveling to Atlantic City
Atlantic City is easily accessible via major highways and public transportation from all areas in the
Northeast. From the Philadelphia area, consider NJ Transit service from 30th St. Station
(www.njtransit.com or 1-973-275-5555). The Conference Hotel is directly across the street from the
AC Train Station. From the south, consider connections through Philadelphia on Amtrak
(www.amtrak.com or 1-800-872-7245), or fly in via Atlantic City International Airport:
(www.acairport.com) or Philadelphia International Airport (www.phl.org/Pages/HomePage.aspx)
For more information about what to do while in Atlantic City, call the Atlantic City Convention and
Visitor’s Authority at 1-888-AC-VISIT ( http://www.atlanticcitynj.com/).
Parking
The hotel offers on-site parking. Fees are: $12 plus tax per 24-hour period for self-parking; $25 plus
tax per 24-hour period for valet parking. These rates are subject to change without notice.
Have you heard?
Jefferson Medical College is now The Sidney Kimmel Medical College at Thomas Jefferson University! Jefferson
Medical College has been renamed The Sidney Kimmel Medical College at Thomas Jefferson University, effective
June 17, 2014 as a result of an historic and transformative gift from the Sidney Kimmel Foundation.
Need More Information? Please call the Office of CME at 1-888-JEFF-CME or 215-955-6992