| Meeting Registration |
Please complete the
fields below to register for the 2013 AACI/CCAF Annual Meeting.
If you have questions, please contact Jaime E. Anderson at jaime@aaci-cancer.org.
All fields marked with (*) are required.
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| Registrant Information |
| *First: |
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| Middle: |
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| *Last: |
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| Name Suffix: (Jr., III, etc.) |
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| Degree(s): |
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| *Preferred Name for Badge: |
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| *Job Title: |
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| *Institution: |
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| Parent
Institution: |
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| *Address 1: |
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| Address 2: |
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| *City: |
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| *State:
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*Zip:
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| *Telephone: |
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| *E-mail: |
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| If registration is being completed by someone
other than registrant, please enter contact's e-mail address
below. |
| Alternate contact name: |
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| Alternate contact phone: |
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| Alternate contact e-mail: |
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| Payment Information |
| *Is your institution a member of AACI? |
Yes
No |
| *Are you a member of CCAF? |
Yes
No |
| If you answered 'yes' to either question above, the member rate applies. |
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| Guest Name: |
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| *Payment Method: |
Check
Credit Card
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| Please note any dietary requirements or special needs: |
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If Paying by Check:
Please make check payable
to "Association of American Cancer Institutes" and mail to:
Association of American Cancer Institutes
ATTN: Sara Arvay
3708 Fifth Avenue
Medical Arts Building, Suite 503
Pittsburgh, PA 15213
Payment Policy:
Payment for AACI/CCAF Annual Meeting attendance is due within 45 days of registration. Payment may be made by credit card or check. If payment is received more than 45 days after registration, registrant will be responsible for paying the prevailing registration rate. All registrations are considered final as soon as information is submitted to AACI for processing. Regardless of payment method, refer to AACI’s cancellation policies for refunds and cancellation fees; you will be responsible for paying any applicable fees based on this policy.
Cancellation Policy:
All cancellations must be submitted in writing, via e-mail or regular
mail. Cancellations will be accepted through August 29, 2013 and a $50 administrative fee will be assessed. No refunds will be made for cancellations received
after August 29, 2013. All refunds will be processed after November
1, 2013.
AACI reserves the right to cancel this activity because of unforeseen circumstances. In the event of such cancellation, the full paid registration fee will be returned to each registrant.
I have read and agree to the terms in the cancellation policy.
Questions about CME?
Please contact Sara Arvay at 412-605-1476 or via email at sara@aaci-cancer.org.
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