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2012 LDA Conf. Online Regular Registration Form

 13th Annual Lyme & Other Tick-Borne Diseases:

Microbial Persistence & Tick-Borne Diseases – New Scientific & Clinical Directions  

2-Day Conference Jointly Sponsored by:

Lyme Disease Association & Columbia University College of Physicians & Surgeons

 

Regular Registration (For those who do not require Continuing Medical Education (CME) credits)

Fees: Early Registration $185 (by 09/07/12); $205 (after 09/07/12); $220 (if space available, at door) 

 

Saturday, September 29, 2012    7:00 a.m.- 5:00 p.m.  Reception 5:15 p.m.-6:15 p.m.

Sunday, September 30, 2012      7:30 a.m.-2:00 p.m.

  • One form per registrant 
  • Fee includes Sat. breakfast, lunch, breaks, reception, scientific lectures, exhibits; Sun. break, scientific lectures, exhibits; program.
  • Credit Card Registrations: Online Only    (No Phone or Fax Registrations) 
  • Cancellation: Written cancellation notice must be received by LDA by 9/7/12 for refund.  NO exceptions.  Email cancellation notice to treasurer@LymeDiseaseAssociation.org or fax 732-938-7215

(note: Paypal has known issues with google chrome.  If you have trouble with your submission please try using another browser such as internet explorer, firefox or safari)


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IMPORTANT

Registration is a 2 step process: 

1) After you click the submit button you will have completed the LDA portion of the registration.  An email confirm will be sent by LDA, check your SPAM box if you do not receive it. 

2) Next you will be sent to the PayPal page to input your credit card information and finish registration.  An email confirm will also be sent by PayPal which you need to bring to the conference.  If you have registered and do not receive a PayPal confirm within 24 hours of your online payment, please email treasurer@LymeDiseaseAssociation.org