39th Annual Spring Symposium

On-line Registration & Payment

First Name:			Last Name:
SNM Membership Number:
Participants must pay non-SNM member registration fees if they do not pay National SNM dues.  All members must provide a SNM Membership Number to qualify for member registration fees.
Position:			Hospital or Affiliation:
City:		State:		Zip Code:
Telephone:			Email:
Mailing Address:
City:		State:		Zip Code:
Guest’s Name:
Chapter Luncheon All Registrants must pay an additional $10.00 to attend the Chapter luncheon. Guests must pay an additional $25.00 luncheon fee per guest.
Registrant Luncheon Tickets Requested ($10.00): Yes    No Number of Guest Luncheon Tickets Requested (@ $25.00 each):
Please Choose One     Prior to 2/20/2010 On Site Registration SNM Member (M.D. or Tech)   Full Program $130.00 $160.00   Saturday Program Only $110.00 $140.00 SNM Non-Member ( M.D. or Tech) Full  Program $160.00 $190.00   Saturday Program Only $140.00 $170.00 Students With Letter from Program Director     NO CHARGE $45.00
The Greater New York Chapter, Technologist Section Registration Committee will be confirming all On-Site Registrants for membership status by computer to the SNM Membership Office.  If you are NOT a member per the SNM database, you will be required to pay the Non-Member Registration Fee.  If any registrant believes that he/she is a member and we are in error, the GNYC-TS will reimburse the difference in registration fees to the attendee.