2017 GNS Annual Fall Meeting
December 1-3, 2017
The Ritz Carlton Lodge Reynolds Plantation

Contact Info, Bio, Itinerary

Contact Info, Bio, Itinerary | Objectives, Presentation Requirements | Disclosure

Speaker Name: *
Email Address: *
Required entries with every submission*

Contact Information

Mailing address:
Office Phone:
Mobile Phone:
Home Phone:
Assistant's Name:
Assistant's Phone:
Assistant's Email

Please list how you wish to be listed in the program

BIO (used in the Meeting Program and excerpts taken for verbal introduction)

I am seeking CME credit for this meeting
I am NOT seeking CME credit for this meeting.

I am driving to and from the hotel (skip ahead to ACCOMMODATIONS)
I am FLYING to and from the hotel (please complete Arrival/Departure info below)

Airport:      Airline:
Arrival date:      Flight Number      Arrival Time:

Airport:     Airline:
Departure date:      Flight Number:      Departure Time:

I have been told the GNS will make my room reservation.
I understand I will be making my own room reservation. Click here for hotel information.

I will be checking in on
I will be checking out on