2017 Registration on-line

Registration Form
16th Annual Spring Meeting
Utah Dermatology Society
April 21-22, 2017
Conference in Moab Utah



  • Select one Registration Fee (member) $250.00

    Registration fee (non-member physician) $350.00 (includes registration and membership dues)

    Registration fee (non-member PA/NP) $335.00 (includes registration and membership dues)

    Friday I will need breakfast for
    myself
    one (1) guest (no charge)




    Friday Dinner/Social
    myself
    one (1) guest (no charge)





    Saturday I will need breakfast for
    myself
    one (1) guest (no charge)




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

    CANCELLATION/REFUND POLICY: Registration fees, less a $25 administration fee, will be refunded following the meeting upon written notice of cancellation. Notice can be sent via email @ utahdermsociety.com or by mail: PO Box 912079 St. George UT. 84791. In order to qualify for a refund of fees, cancellation notice must be received in writing no later than 1 month prior to the meeting. There will be no refund of fees for cancellation received after that date or for lack of attendance without notification.