conference pricing tables

1
www.ACRM.org T: +1.703.435.5335 ¨ Dr. ¨ Mr. ¨ Mrs. ¨ Ms. ¨ Miss First Name Last Name Credentials Specializations Badge Name (as you want it to appear) Badge Organization Badge Title Badge City Badge State Badge Country Work Phone Mobile Phone Emergency Contact Name Emergency Phone Email Dietary / Special Needs How did you hear about this event? What made you want to attend? Registration Date ¨ Check here to opt out of receiving a small number of informative emails prior to the conference from ACRM on behalf of conference sponsors and exhibitors. ¨ First-time attendee COMMUNITY FORUMS NONMEMBERS RECEIVE A COMPLIMENTARY 6-MONTH ACRM MEMBERSHIP WITH REGISTRATION. PLEASE SELECT THE ACRM GROUPS BELOW THAT ARE MOST RELEVANT TO YOU, SO WE MAY INTRODUCE YOU TO OPPORTUNITIES AND BENEFITS AVAILABLE. ¨ Brain Injury — Interdisciplinary Special Interest Group (BI-ISIG) ¨ Spinal Cord Injury — Interdisciplinary Special Interest Group (SCI-ISIG) ¨ Stroke — Interdisciplinary Special Interest Group (STROKE-ISIG) ¨ Early Career — Networking Group ¨ Health Policy — Networking Group ¨ International — Networking Group ¨ Outcomes Measurement — Networking Group ¨ Military / Veterans Affairs — Group ¨ Neurodegenerative Diseases — Group ¨ Pediatric Rehabilitation — Group ¨ Geriatric Rehabilitation — Group ¨ Musculoskeletal/Pain — Group ATTENDEE TYPE ¨ Rehabilitation Professional ¨ Speaker ¨ Sponsor ¨ Early Career (first 5 years following post-graduate studies) ¨ Resident / Student / Fellow (Enrolled in an accredited school of medicine or approved graduate or under graduate program or fellowship in a medical rehabilitation discipline.) ¨ Exhibitor ¨ Emeritus ¨ Consumer Online registration at www.ACRM.org CONFERENCE REGISTRATION PLEASE CHECK ONE ADVANCE RATE 2012 EARLY- EARLY BIRD EARLY BIRD REGULAR ON-SITE 1 FEB – 3 APR 4 APR – 31 MAY 1 JUN – 30 AUG 31 AUG – 8 NOV 9 – 16 NOV ACRM MEMBER ¨ $595 ¨ $695 ¨ $795 ¨ $895 ¨ $1,095 NON-MEMBER ¨ $795 ¨ $895 ¨ $995 ¨ $1,095 ¨ $1,295 STUDENT / RESIDENT / FELLOW ¨ $150 ¨ $295 ¨ $295 ¨ $395 ¨ $495 EARLY CAREER ¨ $150 ¨ $295 ¨ $295 ¨ $395 ¨ $495 DAY REGISTRATION (MEMBER) ¨ $295 ¨ $395 ¨ $495 ¨ $595 ¨ $695 DAY REGISTRATION (NON-MEMBER) ¨ $295 ¨ $495 ¨ $595 ¨ $695 ¨ $795 NON-REFUNDABLE GOVERNMENT DEPOSIT ¨ $50 ¨ $195 ¨ $295 ¨ $395 ¨ N/A NON-MEMBER purchase includes a complimentary 6-month ACRM membership with a subscription to Archives of Physical Medicine and Rehabilitation. STUDENT / RESIDENT / FELLOW: Up to two years after post graduate studies / include graduation date. EARLY CAREER: Up to five years after post graduate studies / include graduation date. NON-REFUNDABLE GOVERNMENT EMPLOYEE DEPOSIT: U.S. government employees may pay a non-refundable deposit to freeze their registration cost at the current rate to defer payment. Deposit will be applied to registration. Attendee will be invoiced and final payment will be due after 1 July 2013. YOUR REGISTRATION INCLUDES access to ALL of the general sessions, plenary sessions and symposia Thursday, Friday and Saturday, 14 – 16 November. REGISTRATION FORM All pricing in USD 12 – 16 NOVEMBER 2013 PROGRESS IN REHABILITATION RESEARCH ACRM 90 th Annual Conference DISNEY’S CONTEMPORARY RESORT ORLANDO, FL, USA

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Grids of early pricing breaks for the 90th Annual ACRM Conference

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Page 1: Conference Pricing tables

www.ACRM.org T: +1.703.435.5335

¨ Dr. ¨ Mr. ¨ Mrs. ¨ Ms. ¨ Miss

First Name

Last Name

Credentials

Specializations

Badge Name (as you want it to appear)

Badge Organization

Badge Title

Badge City Badge State

Badge Country

Work Phone

Mobile Phone

Emergency Contact Name

Emergency Phone

Email

Dietary / Special Needs

How did you hear about this event?

What made you want to attend?

Registration Date

¨ Check here to opt out of receiving a small number of informative emails prior to the conference from ACRM on behalf of conference sponsors and exhibitors.

¨ First-time attendee

Community forums NONMEMBERS RECEivE A COMPLiMENTARy 6-MONTH ACRM MEMBERSHiP WiTH REgiSTRATiON. PLEASE SELECT THE ACRM gROuPS BELOW THAT ARE MOST RELEvANT TO yOu, SO WE MAy iNTRODuCE yOu TO OPPORTuNiTiES AND BENEFiTS AvAiLABLE.

¨ Brain injury — interdisciplinary Special interest group (Bi-iSig) ¨ Spinal Cord injury — interdisciplinary Special interest group (SCi-iSig) ¨ Stroke — interdisciplinary Special interest group (STROKE-iSig) ¨ Early Career — Networking group ¨ Health Policy — Networking group ¨ international — Networking group ¨ Outcomes Measurement — Networking group ¨ Military / veterans Affairs — group ¨ Neurodegenerative Diseases — group ¨ Pediatric Rehabilitation — group ¨ geriatric Rehabilitation — group ¨ Musculoskeletal/Pain — group

Attendee type ¨ Rehabilitation Professional ¨ Speaker ¨ Sponsor ¨ Early Career (first 5 years following post-graduate studies) ¨ Resident / Student / Fellow (Enrolled in an accredited school of medicine or approved graduate or under graduate program or fellowship in a medical rehabilitation discipline.)

¨ Exhibitor ¨ Emeritus ¨ Consumer

Online registration at www.ACRM.org

COnfeRenCe ReGISTRATIOnPLEASE CHECK ONE

ADVANCE RATE 2012

EARLY- EARLY BIRD

EARLY BIRD REGULAR ON-SITE

1 Feb – 3 Apr 4 Apr – 31 MAy 1 Jun – 30 Aug 31 Aug – 8 nov 9 – 16 nov ACRM MeMbeR ¨ $595 ¨ $695 ¨ $795 ¨ $895 ¨ $1,095

NoN-MeMbeR ¨ $795 ¨ $895 ¨ $995 ¨ $1,095 ¨ $1,295

StudeNt / ReSideNt / Fellow ¨ $150 ¨ $295 ¨ $295 ¨ $395 ¨ $495

eARly CAReeR ¨ $150 ¨ $295 ¨ $295 ¨ $395 ¨ $495

dAy RegiStRAtioN (MeMbeR) ¨ $295 ¨ $395 ¨ $495 ¨ $595 ¨ $695

dAy RegiStRAtioN (NoN-MeMbeR) ¨ $295 ¨ $495 ¨ $595 ¨ $695 ¨ $795

NoN-ReFuNdAble goveRNMeNt depoSit ¨ $50 ¨ $195 ¨ $295 ¨ $395 ¨ N/A

NON-mEmBER purchase includes a complimentary 6-month ACRM membership with a subscription to Archives of Physical Medicine and Rehabilitation.

STUDENT / RESIDENT / FELLOw: Up to two years after post graduate studies / include graduation date.

EARLY CAREER: Up to five years after post graduate studies / include graduation date.

NON-REFUNDABLE GOVERNmENT EmpLOYEE DEpOSIT: U.S. government employees may pay a non-refundable deposit to freeze their registration cost at the current rate to defer payment. Deposit will be applied to registration. Attendee will be invoiced and final payment will be due after 1 July 2013.

YOUR REGISTRATION INCLUDES access to ALL of the general sessions, plenary sessions and symposia Thursday, Friday and Saturday, 14 – 16 November.

REGISTRaTIonFoRM All pricing in uSD

12 – 16 noveMber 2013progress in

rehAbilitAtion reseArchACRm 90th Annual Conference

Disney’s conteMporAry resort orlAnDo, Fl, usA