schedule membership dues individual rates ......treasurer edwin v. palileo, md ‘72a assistant...
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MEMBERSHIP DUES Quantity Total
Lifetime (Non-Retired) $400 Lifetime (Retired) $200 Annual $100
Dues must be paid separately from convention registration fee.Annual dues must be paid out to UPMASA National by the deadline ofJanuary 31, 2020 to avail of discounted price for alumnus with paid dues.
PACKAGE RATESWelcome Reception / Pabidahan, Alumni Luncheon, Gala, Post-convention breakfast, andprocessing fee Deadline Deadline On Site No. of Tickets Total by by 03/31/2020 06/01/2020
WITH CMEAlumnus with paid duesby 01/31/2020 $695 $775 $820
WITH CMEAlumnus withunpaid dues $795 $875 $920
WITH CMEResident / Fellow $595 $675 $720
WITH CMEAlumnus from outside US $795 $875 $920
WITH CMENon UPCM Grad $795 $875 $920
WITH CMESpouse / Guest $595 $675 $720
WITHOUT CMEAlumnus with paid duesby 01/31/2020 $595 $675 $720
WITHOUT CMEAlumnus withunpaid dues $695 $775 $820
WITHOUT CMERetired Alumnuswith paid duesby 01/31/2020 $545 $625 $670
WITHOUT CMERetired Alumnuswith unpaid dues $645 $725 $770
WITHOUT CMEResident / Fellow $505 $575 $620
WITHOUT CMEAlumnusfrom outside US /Non UPCM grad $695 $775 $820
WITHOUT CME Spouse / Guest $505 $575 $620 Grand TotalWITH CME - 2 mornings with Breakfast and Snacks Residents / Fellows must submit letter of verification from program director.
CANCELLATION POLICYIndividual event payments are nonrefundable. Package rate payments are refund-able (minus built in non-refundable processing fee of $100 per registration form) IF cancellation received in writing by 05/30/2020. Souvenir Program Advertisement and Exhibit sponsorship are nonrefundable. I have read the cancellation policy and agree to the terms.
Signature Date
HOTEL REGISTRATION: BELLAGIO LAS VEGAS NV Passkey: https://book.passkey.com/e/49778307 Toll free no.: 1-888-987-6667 (refer to UPMASA group)Hotel rate starts at $149++ (resort fee and taxes) for 1 king bed resort room and $169++ (resort fee and taxes) for 2 queen bed resort room. Reduced room rates are available until all blocked rooms are taken. After which, regular room rate applies.
REGISTRATION FORMName: First - Middle / Maiden - Last
Class: Chapter:Membership Status: Lifetime / Regular / Retired / Dues Paid
Name of Guests (Fees should be paid)
PAYMENTPayment by check payable to UPMASA is preferred to avoid credit card processing fee.For credit card payments, supply information below. Registration online will be closed by June 01, 2020.
Name on card:
Card number:
Expiration date: Security code:
Billing address:
State: Zip code:
E-mail address (receipt sent here)
Contact Telephone number
Mail forms / checks to: OR Fax forms to:UPMASA National (973) 731-8381P.O. Box 1595 c/o Caroline PinderLivingston, New Jersey 07309-9998 For additional inquiries: call /text (862) 335-8830 email [email protected]
You may register online at: www.upmasanational.org
INDIVIDUAL RATES Deadline Deadline On Site No. of Tickets Total by by 03/31/20 06/01/20 Welcome Reception /Pabidahan $275 $305 $325
CME (2 mornings withBreakast and Snacks) $200 $220 $240
Alumni Luncheon Spouse / Guest Luncheon $50 $50 $50
Gala $300 $340 $360
Post-convention Breakfast $70 $80 $90
MuReunion / Luncheon $70 $80 $90
PhiReunion / Luncheon $70 $80 $90
Non-Greek AffiliatedLuncheon $70 $80 $90
Finance Committee Tutorial(Chapter Presidents $5 $5 $5and Treasurers only) refundable refundable refundable ($5 non-refundable if no show)
Grand Total
SOUVENIR PROGRAM ADVERTISEMENT Deadline Deadline Quantity Total by by 03/31/2020 06/01/2020
Full page $280 $350Half page $150 $180Quarter page $75 $100
Grand Total
EXHIBITS Quantity Total Gold $10,000Silver $5,000Bronze $2,500Exhibitor $1000
Grand Total
CAROUSEL DECOR
LAS VEGAS STRIP
ZIPLINEDOWNTOWNLAS VEGAS
FERRIS WHEELLAS VEGAS
STRIP
EIFFEL TOWERLAS VEGAS STRIP
SCHEDULE Pre-convention / Sunday June 2801:00pm to 04:00pm Finance Committee TutorialAll Day Las Vegas Tours and Shows on your own
Day 1 / Monday June 29 07:30am to 03:00pm Meeting of the Board of Governors09:00am to 05:00pm Registration09:00am to 05:00pm Exhibits / Fitness & Wellness (Tai Chi, Zumba, and Line Dancing)06:00pm to 12:00am Welcome Reception / Pabidahan Theme: The Legends Day 2 / Tuesday June 3007:15am to 12:15pm CME Day 1 CME breakfast starts at 07:15 am and ends 08:45am08:00am to 05:00pm Registration09:00am to 05:00pm Exhibits12:30pm to 02:30pm Alumni Luncheon / Business Meeting03:00pm to 12:00am Class Reunions Day 3 / Wednesday July 1 07:15am to 12:15pm CME Day 2 CME breakfast starts at 07:15 am and ends 08:45am08:00am to 05:00pm Registration09:00am to 05:00pm Exhibits12:30pm to 02:30pm Mu / Phi / Non-Greek Affiliated Luncheon04:00pm to 05:30pm Awarding of Medallions to Golden, Silver Jubilarians, Outstanding Alumni & UPMASA Presidents 06:00pm to 12:00am Gala Night Theme: Viva Las Vegas Day 4 / Thursday July 208:00am to 10:00am Post convention breakfast
HIKERED ROCK CANYON
LAS VEGAS
UPMASA - AGC 2020 CONTACTSFrancisco Sy, MD ‘75 NV [email protected] Victor Ventura, MD ‘95 [email protected] Tocyap-Aquino, MD‘96 AZ [email protected]
2020 AGC ORGANIZING COMMITTEE Overall Chair Francisco Sy, MD ‘75 NV
Co-Chairs Jose Victor Ventura, MD ‘95 Lillian Tocyap-Aquino, MD ‘96 AZ
Chapter Presidents Enrique Ona, MD ‘99 AZ Francisco Sy, MD ‘75 NV
Finance Committee Lillian Tocyap-Aquino, MD ‘96 AZ Maya Liza Lopez, MD ‘95 Aurelio Muyot, MD ‘89 NV
CME Program Ernerio Alboliras, MD ‘76 AZ Delia Kuizon, MD ‘95 Francisco Sy, MD ‘75 NV
Sponsors / Exhibits Raul Vincent Gatchalian, MD ‘94 AZ Alan Paul Briones, MD ‘95 Romualdo Aragon, Jr., MD ‘82 NV
Souvenir Program Catherine Lisondra-Krings, MD ‘84 AZ Charissa Pe-Benito, MD ‘95 Gerardo Lorenzana, MD ‘83 NV
Registration Maria Teresa Perez-Laurel, MD ‘85 AZ Michael Victorino Medina, MD ‘95 Lynda Obiena-Tirao, MD ‘70 NV
Welcome Reception Michelle Jao-Velasquez, MD ‘99 AZand Pabidahan Martin Joseph Hortaleza, MD ‘95 Mercedes Cruz, MD ‘85 NV
Alumni Luncheon Damaso Bueno, MD ‘92 AZ Catherina Elena Bernardo, MD ‘95 Dominador Garcia, MD ‘69 NV
BOG Liaisons and Enrique Ona, MD ‘99 AZPost AGC / Breakfast Jose Victor Ventura, MD ‘95 Francisco Sy, MD ‘75 NV
Jubilarian Liaisons Victoria Altavas-Arcega, MD ‘70 Gold Ruby Roa-Alboliras, MD ‘80 Ruby Christopher Mejia, MD ‘95 Silver Maria Mercedes Alba, MD ‘82 AZ
Pre-Gala / Awards Lilibeth Pineda, MD ‘85 AZ Emmanuel Barias, MD ‘95 Cecilia Bautista-Fabella, MD ‘69 NV
Gala Night Marietta Uy-Mangubat, MD ‘87 AZ Emmanuel Bayongan, MD ‘95 Elouisa Dizon-Farrales, MD ‘69 NV
UPMASA 2019 - 2021 NATIONAL OFFICERS President Susan Concepcion-Echiverri, MD ‘79President-Elect Lourdes Publico, MD ‘77Immediate Past President Jose M. David, MD ‘83Chair, Board of Governors Henry Echiverri, MD ‘81Vice Chair, Board of Governors Cecile Pasion-Bregman, MD ‘78Recording Secretary Winston Umali, MD ‘94Corresponding Secretary Felicitas Lardizabal-Lacbawan, MD ‘84Treasurer Edwin V. Palileo, MD ‘72AAssistant Treasurer Glenn Batiller, MD ‘80Auditor Elizabeth Fong-De Leon, MD ‘75
40th Anniversaryand
35th Annual Grand ConventionHOSTED BY
Class of 1995, Arizona and Nevada Chapters
CELEBRATING THE JUBILARIANS
Gold Ruby SilverClass of 1970 Class of 1980 Class of 1995
Bellagio Hotel and Casino3600 Las Vegas Boulevard S
Las Vegas, Nevada 89109 USA
June 28, 2020 to July 02, 2020
CMETheme:Promoting Wellness and Global Health: Updates and Emerging Technology
USE OF NEW AND EMERGING TECHNOLOGIES
Leo Anthony G. Celi, MD ‘90, Massachusetts Institute of TechnologyAn Inconvenient Truth about Artificial Intelligence in Healthcare
Fareed Moses S. Collado, MD ’07, Beth Israel Deaconess Medical CenterEmerging Technology in Interventional Cardiology
Susan C. Echiverri, MD ’79, Health Care Services Corporation (Chicago,IL)Medical Genetics at the Bedside and at the Clinic
Felicitas L. Lacbawan, MD ‘84, Quest DiagnosticsGenetics for the Masses
Virgilio M. Novero, Jr., MD ‘86, UP-PGHAdvances in Artificial Reproductive Technology
Benjamin B. Roa, PhD, Myriad Genetic LaboratoriesMolecular Genetic Applications in Oncology
Ian S. Soriano, MD ‘97, University of PennsylvaniaOptimizing Bariatric Surgery Outcomes through Robotics & Enhanced Recovery Protocols
GLOBAL HEALTH
Dennis R. Labayen, MD ‘72B, Outreach InternationalParticipatory Human Development in Global Health
Roderico Ofrin, MD ’95, WHO Regional Office for Southeast AsiaRisky Business: Public Health & Emergencies
Francisco S. Sy, MD ’75, UNLV School of Public HealthConfronting Neglected & Emerging Diseases: Successes & Opportunities
UPDATES ON DISEASES AND/OR CONDITIONS
Ernerio Alboliras, MD ’76, Genus Heart CenterSudden Cardiac Death in Children- Risk Detection & Prevention
Darwyn Chern, MD ’95, Partners in RecoveryOpioid Dependence & the Opioid Crisis
Gerome V. Escota, MD ’04, Washington University in St. LouisOf White Walkers and Dragonglass: Emerging Resistant Infections andNew Antimicrobials
Diana J. Galindo, MD ’76, Cleveland Clinic FloridaForgetfulness: When Should I Worry?
Nemencio A. Nicodemus Jr, MD ’95, UP-PGHClinical Updates on Diabetes in Pregnancy
PROMOTING WELLNESS
Retna Ariotedjo-Billano, MD ’76, Heights Dermatology & AestheticsForever Young
Karen L. Parker, PhD, MSW, National Institutes of HealthLesbian, Gay, Bisexual & Transgender (LGBT) Health
Raymond Poliquit-Moore, MD ’89, Tulane UniversityMaking Fitness Fun with Zumba Classes: A Case Study on Marketing Fitnessto Communities across Louisiana
Renato V. Samala, MD ’00, Cleveland Clinic Taussig Cancer InstitutePalliative Care: Living & Dying Well in the Face of Serious Illness
This live activity, UPMASA 35th AGC CME, beginning June 30, 2020 has been ap-proved and is acceptable for up to 10 prescribed credits by the AAFP. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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