AHME - Association for Hospital Medical Education
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Online Registration by Credit Card
(Visa or MasterCard Only)

* Registering with AHME as a Member
AHME as a Non-Member
AODME as a Member
AODME as a Non-Member
AHME & AODME as a Member
(membership will be verified)

* First Name:
* Last Name:
Degree:
(for D.O.'s: AOA#, School, and Year)

Title:
* Badge Name:
(first name to appear on badge)

* Institution:
* Address:
* City:
* State:
* Zip:
* Phone:
Fax:
* Email:
(required for registration confirmation)

Spouse/Guest Name:
Emergency Contact Name:
Emergency Contact Phone Number:


* First Time Attending?
Yes No

Will You Attend Newcomer's Lunch (first time attendees only)?
Yes No

Buddy-Up! (link opens a new window)
I Need a Buddy.
Yes No
I Would Like to Volunteer to be a Buddy.
Yes No

Special Dietary Needs?
Kosher    Vegetarian    None




* Registration Fees
(link opens a new window)
Early Bird
on or before
1-MAR-03
Advanced
1-MAR-03 to
30-APR-03
On-site
or after
1-MAY-03
     Member$495$550$595
     Non-Member$595$650$695



Guests: @ $150 Each

Optional AHME Council Lunches:
(AODME Members are welcomed to register for AHME Council Lunches)
  ($50) AHME CAO Luncheon
($30) AHME CADME Luncheon
($30) AHME COMEC Luncheon
($30) AHME CTYPD Luncheon
None



Session Attendance
Please check the boxes of the sessions you plan to attend. This is very important to adequately prepare for all educational session attendees. Please refer to the Schedule at a Glance for session identification.

Wednesday, May 14
1:00 pm - 3:00 pm (B1)
3:30 pm - 5:30 pm (B2)
Thursday, May 15
8:00 am - 10:00 am (P1)
10:30 am - 12:00 pm (P2)
12:00 pm - 1:30 pm (E1)
1:30 pm - 3:00 pm (P3)
3:30 pm - 5:00 pm (B3)
3:30 pm - 5:00 pm (B4)
5:30 pm - 7:00 pm (E2)
Friday, May 16
8:05 am - 9:15 am (B5)
8:30 am - 10:00 am (B6)
8:30 am - 10:00 am (B7)
8:30 am - 10:00 am (B8)
9:15 am - 10:00 am (B9)
10:30 am - 11:45 am (B10)
10:30 am - 12:00 pm (B11)
10:30 am - 12:00 pm (B12)
10:30 am - 12:00 pm (B13)
1:30 pm - 3:00 pm (B14)
1:30 pm - 3:00 pm (B15)
1:30 pm - 3:00 pm (B16)
3:30 pm - 4:15 pm (B17)
3:30 pm - 5:00 pm (B18)
3:30 pm - 5:00 pm (B19)
6:00 pm - 8:00 pm (E3)
Saturday, May 17
8:30 am - 10:00 am (P4)
10:30 am - 12:00 pm (P5)
12:00 pm - 1:30 pm (E4)
1:30 pm - 3:00 pm (P6)
3:30 pm - 4:30 pm (B20)
3:30 pm - 4:30 pm (B21)


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