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
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