2019 GSR Annual Meeting
Save the Date!
May 31 - June 2, 2019
 
6th Annual Basic and Clinical Immunology for the Busy Clinician: An Immunology Boot Camp
 
MARS
 
Past Meetings
2018 GSR Annual Meeting
June 1-3, 2018
Ritz-Carlton, Amelia Island

Contact Info, Bio, Itinerary

Contact Info, Bio, Itinerary | Educational Objectives | AV, Final Presentation, Handouts | Disclosure

Speaker Name: *
Email Address: *
Required entries with every submission*


Contact Information

Please list how you wish to be listed in the program


Mailing address:
Office Phone:
Mobile Phone:
Home Phone:
Fax:
Assistant's Name:
Assistant's Phone:
Assistant's Email
Address:



BIO (used in the Syllabus and excerpts taken for verbal introduction)



CME
I am seeking CME credit for this meeting
I am NOT seeking CME credit for this meeting.


TRAVEL
I am driving to and from the meeting location (skip ahead to ACCOMODATIONS)
I am FLYING to and from the meeting location (please complete Arrival/Departure info below)

ARRIVAL
I DO / I DO NOT wish to be shuttled from the airport to the hotel and will arrange my own ground transportation
Airport:      Airline:
Arrival date:      Flight Number      Arrival Time:

DEPARTURE
I DO / I DO NOT wish to be shuttled from the airport to the hotel and will arrange my own ground transportation
Airport:     Airline:
Departure date:      Flight Number:      Departure Time:



ACCOMMODATIONS
I have been told the GSR will make my room reservation at the resort.
OR
I understand I will be making my own room reservation at the resort. Click here for accommodation details and options.

Please complete the following in either case:
I will be checking in on
I will be checking out on


GUESTS - Guest expenses are the responsibility of the speaker.  Please list the names of your guests (spouse, children/ages, relatives, guests, etc.)

Name , Relationship , Age (if under 18)

Name , Relationship , Age (if under 18)

Name , Relationship , Age (if under 18)

Name , Relationship , Age (if under 18)

Name , Relationship , Age (if under 18)

ACTIVITIES - sign me and/or my guests up for the following:

THURSDAY
Welcome Reception - Friday, 5:30 - 7:00pm. (Exhibit Hall), number attending

FRIDAY
Party and Dinner - Saturday, 6:45 p.m., total number attending , ages of any children attending