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2010 Fall Meeting - November 19-20, 2010
Atlanta Marriott Buckhead Hotel & Conference Center

General Information | Accreditation | Honored Speakers | Coding Agenda | Scientific Assembly Program | Call for Abstracts | Speaker Forms | Attendee Registration | Exhibitor Registration | Exhibitor Prospectus

Attendee Registration

Fill in the information to submit your registration. If paying by credit card you will be taken to our credit card processing form when you click continue. If you experience any problems, please contact GNS at (770) 613-0932 for assistance.

Contact Information
Name of Practice: *
Address/Suite: *
City/State/Zip: *
Phone: *

Registrants
Add a Registrant to this list by filling out the fields below and clicking Add.
Register before November 1st to receive the Early-Bird discount! All fees will increase by $50 on November 1st.
Scientific Assembly Fees Coding Seminar Fees
GNS Members
Non-Members
Residents 		$300.00 each
$400.00 each
%50.00 each
 1 GNS Member
2-3 GNS Members
4+ GNS Members
1 Non-Member
2-3 Non-Members
4+ Non-Members
Residents 		$500.00
$450.00 each
$400.00 each
$600.00
$550.00 each
$500.00 each
$150.00 each
 
* In order to receive the multiple attendee discount you must register all participants together.
** Physician's membership qualifies as membership for the staff. If you or the physician in your group is a member, then everyone is eligible for member rates. However, you must indicate each attendee as a member for the system to recognize the discount.
Note: Lunch is provided.

Become a member now! - GNS Member Registration

Payment
  Amount Owed:
  If you would like a copy of your registration invoice to be emailed to you, please provide an email address below.
  Email Invoice to:
 
Paying by Credit Card
  Name on Credit Card: *
 
Paying by Check
  Please send check to:
GNS
c/o Atendee Registration
6134 Poplar Bluff Circle, Suite 101
Norcross, GA 30092
 
Registration Form Only (I have already paid)

Contract
  I agree to the attendee terms and conditions.
Name of Person filling out this form: *
Date: *
Note: You must check the box and sign to complete your registration. Registrations without a signed contract are void.