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2014 LDA Conf. Online Regular Registration Form

 15th Annual Lyme & Other Tick-Borne Diseases:

Medical, Neuropsychiatric & Public Health Implications  

2-Day Conference Jointly Sponsored by:

Lyme Disease Association & Columbia University College of Physicians & Surgeons

 

Regular Registration: General public/others who do not need Continuing Medical Ed credits 

Fees: Early Registration $199 (by 04/05/14); $220 (after 04/05/14); $230 (if space available, at door) 

For CE registration – (Continuing education)  Register using regular registration (above) and be prepared to pay an additional $30 in cash or check at the door (check payable to Lyme Disease Association, Inc). You must register through regular registration online or by mail for the conference to be guaranteed entrance at the door, when you will then pay the additional fee. Check to see if you need verification for credits (below).

Social Workers  12.5 CE credits for RI social workers authorized from NASW RI Chapter,Authorization # RI-5570. Social workers in other states, contact your professional organization for reciprocity.     Psychologists: All psychologists from all states contact your professional organization for reciprocity.   LDA makes no guarantees for out of state social workers or any psychologist that your professional organization will accept CE credits. You yourself must verify reciprocity and acceptance with your professional organization. 

Saturday, May 3, 2014    7:15 a.m.- 5:30 p.m.  Reception 5:45 p.m.-7:00 p.m.

Sunday, May 4, 2014      7:30 a.m.-1:30 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 4/10/14 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