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REGISTRATION CATEGORIES*
Please check the appropriate registration category below
*If you register as a member your dues must be current. Click here to pay your dues* |
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| Full Package: Includes all sessions, materials, noted food functions, one Welcome Reception ticket and one Annual Awards/Networking Reception ticket. |
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Registration on and before 1/23/12
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Registration after
1/23/12
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Member/Fellow
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$645
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$755
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Non-Member
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$745
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$855
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| Resident Full Package: Must provide proof of medical residency from Program Director. Includes all sessions, CD, noted food functions, one Welcome Reception ticket and one Annual Awards/Networking Reception ticket. If you would like a printed syllabus this year, it must be pre-ordered and there will be an additional $75 charge. CDs will be passed out free of charge at the meeting. |
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Registration on and before 1/23/12
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Registration after
1/23/12
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Non-Member
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$510
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$615
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| Student Full Package: Must provide proof of full-time matriculation. Includes all sessions, CD, and noted food functions. One Welcome Reception and one Annual Awards/Networking Reception ticket is included. If you would like a printed syllabus this year, it must be pre-ordered and there will be an additional $75 charge. CDs will be passed out free of charge at the meeting. |
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Registration on and before 1/23/12
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Registration after
1/23/12
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Member
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$135
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$245
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Non-Member
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$160
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$270
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| ACLM Past President Full Package: Full registration is $125 and includes one Welcome Reception and one Annual Awards/Networking Reception ticket. Past Presidents requesting CLE credit must complete the CLE section of this form and pay the CLE administration fee. Tickets for the Wecht Luncheon and 12 th Annual Professional Development Lunch must be purchased separately. |
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Past President Registration
$125
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| Single Day Registration: Includes one day of sessions, CD,
one Welcome Reception ticket
and one continental breakfast. Annual Awards/Networking Reception tickets must be purchased separately. If you would like a printed syllabus this year, it must be pre-ordered and there will be an additional $75 charge. CDs will be passed out free of charge at the meeting. |
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| Friday Or Saturday
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Registration on and before 1/23/12
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Registration after
1/23/12
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Member/Fellow
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$295
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$405
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Non-Member
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$345
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$455
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| Spouse/Guest Registration: Includes continental breakfast, President’s Welcome, and Annual Awards/Networking Reception ticket . |
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Spouse/Guest Registration
$155 x
(number of people)
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INDICATE YOUR ATTENDANCE
Please indicate if you plan to attend these events to ensure adequate seating to accommodate all participants. |
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Dental Symposium: Included in registration fee, however, we request sign-ups for appropriate room set up.
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| Dr. Dorothy Rasinski Gregory Women’s Leadership Breakfast: (Open to all registered attendees – continental breakfast will be available.) Although there is not an additional fee for registered meeting attendees, pre-registration for this event is required. |
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| ADDITIONAL TICKETS |
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Annual Awards/Networking Reception
In addition to your registration, if you are bringing a spouse or guest, you must fill out the section below. Tickets for the Annual Awards/Networking Reception are not included in the Single Day Registration. Please register here if the package you have chosen does not include Annual Awards/Networking Reception tickets.
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Registration on and before 1/23/12
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Registration after
1/23/12
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(number of people) x |
$125
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$135
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President’s Welcome Reception
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$25 x
(number of people) |
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| ABLM Program/Review Course |
| $195 x (number of people) |
For questions regarding the Review Course, and registering for the Exam, contact Dr. Sandy Sanbar via email at: sssanbar@pol.net. |
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12th Annual Professional Development Luncheon
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| $40 x
(number of people)
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Cyril Wecht Luncheon
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| $35 x
(number of people) |
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CONTINUING LEGAL EDUCATION PROCESSING
CLE processing is not included in your meeting registration fee. CME and/or CERP processing is included in your registration fee. (Additional fee will apply if request is received after meeting date.)
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Please check here if you would like the ACLM to process your CLE for a $40 per state administration fee.
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| If you checked the above box, please indicate below the states that you are requesting the ACLM process you CLE in. You must indicate the state's bar number for the ACLM to process you CLE. |
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NEW FOR 2012
If you would like a printed syllabus this year, it must be pre-ordered and there will be an additional $75 charge. CDs will be passed out free of charge at the meeting.
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| Printed Syllabus
$75 |
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Registration Cancellation & Refund Policy
Registration refund requests must be submitted in writing to the ACLM Executive Office by January 23, 2012. All refund requests will be subject to a $100 processing fee. No refunds will be made after January 23, 2012.
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