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Registration Form

18th Annual Spring Meeting
Utah Dermatology Society
April 26-27, 2019
Springdale, Utah

   2019 Fees:

   Registration Fee (MD/DO) $250.00
   Registration Fee / + 2019 Dues (MD/DO) $350.00
   Registration Fee (NP/PA) $225.00
   Registration Fee / + 2019 Dues (NP/PA) $310.00
   Resident Registration Fee $100.00

   Registration Fee Covers:

   Fri./Sat. Breakfast & Friday Dinner +1 guest.
   Additional adult dinner ($35.00 each):
   Child dinner ages 4-12 ($17.50 each):
   (children 3 and under no charge)


   Pay online:

   - A new window/tab will be opened when you press the "Add to Cart" buttons.
   - Press the "Add to Cart" button for each item that you would like to purchase.

Registration fees
Name of Registrant:
Dinner Fees

   Please contact Megan at UtahDermSociety@gmail.com with any specific dietary needs.