REGISTRATION FORM

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Any questions regarding registration and/or payment should be addressed to the Office of Continuing Professional Development at (813) 974-4296 or sdodge@health.usf.edu.
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Clinical Virology Symposium
April 27-30, 2008

& Molecular Virology Workshop
April 25-26, 2008

Hilton Daytona Ocean Front Resort
Daytona Beach, Florida

We are sorry, but Online Registrations are now closed as of April 21, 2008 12pm EDT.
Onsite registrations are still available for both programs.

 
Registration Fees
Registration Fees & Details
Virology Symposium
April 27-April 30, 2008		 After March 15, 2008
Professionals $450
Students, Residents & Fellows
(With Letter From Supervisor)		 $250

Additional Exhibitor:

Must include name of exhibiting company, and must be verified with CVS Coordinator or additional fee ($175 or $250 based on date of submission) will be charged on site.

 $200

Name of Exhibiting Company

Do not register for Symposium $0

Banquet on April 28, 2008
Must attend the Virology Symposium in order to attend the banquet
Yes, I will attend the Banquet (No charge for Registrants)
No, I will not attend the Banquet
Include additional Banquet Tickets ($40 each) Total:

Symposium registration fee includes: banquet; evening receptions, program, 1 program CD, 1 commemorative T-shirt.
Molecular Virology Workshop
April 25-26, 2008		 After March 15, 2008
PASCV Members $135
Non-Members $185
No Workshop $0

Cancellations are subject to a non-refundable $25 administrative fee.

Please make your own room reservations at the special rates by calling the Hilton Daytona Beach Oceanfront Resort at: (386) 254-8200 . Identify yourself as a Virology Symposium participant by the code "CVC." Special rate is guaranteed only through 3/24/2008. If there are no rooms available, please go to www.virologysymposium.org and click on "Travel" for more options and information.
Grand Total for All selections:

"Burning Question" I would like the faculty to address during the program:

Accreditation Statement:

This activity has been planned and implemented in accordance with the Essential Standards of the Accreditation Council for Continuing Medical Education through the sponsorship of the University of South Florida College of Medicine. The University of South Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of South Florida College of Medicine designates the Clinical Virology Symposium for a maximum of 18.5 AMA PRA Category 1 Credit(s)™, and the Molecular Virology Workshop for a maximum of 8 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of South Florida is an approved provider of continuing education programs in the clinical laboratory sciences through the ASCLS P.A.C.E. program.

NOTE: CE Credit is no longer offered for Poster Sessions

Payment Method

Please press send registration button only once, and do not use the back button after sending your registration. Doing so may result in multiple charges to your credit card.

 
Accommodations for Disabilities: Please notify the CPD Office, 12901 Bruce B. Downs Blvd., MDC Box 60, Tampa, Florida, 33612 or call (813) 974-4296 a minimum of ten working days in advance of the event if a reasonable accommodation for a disability is needed.

Events, activities and facilities of the University of South Florida are available without regard to race, color, sex, national origin, disability, age, or Vietnam veteran status as provided by law and in accordance with the University's respect for personal dignity.