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PEDIATRICIAN Spring 2003 - AAP-CA

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ANGELA ANDERSON, M.D.<br />

Associate Professor of Pediatrics, Brown University<br />

Medical School; Attending Physician and Toxicologist,<br />

Hasbro Children’s Hospital, Providence, Rhode Island.<br />

DANIEL L. COURY, M.D., F.A.A.P.<br />

Chief, Section of Behavioral – Developmental-<br />

Pediatrics, Columbus Children’s Hospital, The Ohio<br />

State University, Columbus, Ohio.<br />

KATHRYN EDWARDS, M.D., F.A.A.P.<br />

Professor of Pediatrics, Vice Chair for Clinical Research,<br />

Department of Pediatrics, Vanderbilt University,<br />

Nashville, Tennessee.<br />

LEWIS R. FIRST, M.D., F.A.A.P.<br />

Professor and Chair, Department of Pediatrics,<br />

University College of Vermont, Burlington, Vermont.<br />

FRANCINE R. KAUFMAN, M.D., F.A.A.P.<br />

Professor of Pediatrics, Keck School of Medicine of<br />

University of Southern California; Chief, Center for<br />

Diabetes and Endocrinology, Childrens Hospital of Los<br />

Angeles, California.<br />

ANTHONY J. MANCINI, M.D., F.A.A.D., F.A.A.P.<br />

Assistant Professor of Pediatrics and Dermatology,<br />

Northwestern University Medical School, Chicago,<br />

Illinois.<br />

<br />

Pediatric Update <strong>AAP</strong>, California Chapters 1, 2, 3, 4 Venetian Hotel, November 20-23, <strong>2003</strong><br />

Please remit to Venetian Hotel, 3355 Las Vegas Blvd, South, Las Vegas, NV 89109 Phone 877-2VENICE.<br />

Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State . . . . . . . . . Zip. . . . . . . . . .<br />

Phone # ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Accommodations Requested: ____ Luxury ($189) ____ Bella ($239) Number in Party . . . . . . .<br />

Arrival Date/Time . . . . . . . . . . . . . . . . . . . . . . . . Departure Date/Time . . . . . . . . . . . . . . . . . . . . .<br />

Hotel Accommodations: 300 suites of the Venetian Hotel will be available to registrants. Special rates are<br />

$189 per day for Luxury (1 king), $239 for Bella (2 queens), subject to tax. Charge for extra person: $35<br />

a day. Children under 12 are free. Note: Special rates will be available only until October 20, <strong>2003</strong> or<br />

until all 300 blocked suites are taken. Once these are taken, regular hotel rates will apply. Chapter 2<br />

disclaims any responsibility for hotel arrangements.<br />

WE RECOMMEND YOU MAKE RESERVATIONS FAR IN ADVANCE OF THE MEETING.<br />

Your credit card is acceptable in payment. MasterCard VISA American Express (circle one)<br />

#. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Exp. Date. . . . . . . . . . . . . . . . . Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Please make checks payable and send to: Venetian Hotel, 3355 Las Vegas Blvd. South, Las Vegas,<br />

Nevada 89109. Phone 877-2VENICE.<br />

<br />

Pediatric Update <strong>AAP</strong>, California Chapters 1, 2, 3, 4 Venetian Hotel, November 20-23, <strong>2003</strong><br />

Please remit this part to <strong>AAP</strong>, PO Box 2134, Inglewood <strong>CA</strong> 90305 Return policy: Refunds will be<br />

made in full if meeting reservation cancellation is received prior to Oct. 20, <strong>2003</strong>.<br />

Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date. . . . . . . . . . . . .<br />

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State. . . . . . . . . . . . Zip. . . . . . . . . . . . . .<br />

Phone ( ). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax ( ) . . . . . . . . . . . . . . . . . . . . . .<br />

Email. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Tuition Fee: (tuition does not include luncheon seminar costs) Before Oct. 15 After Oct. 15<br />

Physicians: Members of <strong>AAP</strong> California Chapters 1, 2, 3, & 4 . . . . $550. . . . . $575 . . . . . . $______<br />

All other <strong>AAP</strong> Members & Physician Non-members . . . . . . . . . . . $600 . . . . $625 . . . . . . $______<br />

Pediatric Residents . . . . Hospital: . . . . . . . . . . . . . . . . . . . . . . . . . . $325 . . . . $350 . . . . . . $______<br />

Allied Health Personnel Category: . . . . . . . . . . . . . . . . . . . . . . . . . $325 . . . . $350 . . . . . . $______<br />

Physicians Emeritus with California Chapters 1, 2, 3, 4 . . . . . . . . . $100. . . . . $125 . . . . . . $______<br />

Luncheon Seminars: $35 each. You may select one for each day. Please give a second and third<br />

choice. Attendance is limited. Preference assignment will depend on order of receipt of registration.<br />

Fri. Seminar: 1, 2, 3, 4, 5, 6 (enter number in box) Pref: 1o 2o 3o $35 . . . $______<br />

Sat. Seminar: 1, 2, 3, 4, 5, 6 (enter number in box) Pref: 1o 2o 3o $35 . . . $______<br />

Your credit card is acceptable in payment. MasterCard VISA (circle one)<br />

Total<br />

$______<br />

#. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Exp. Date. . . . . . . . . . . . . . . . . Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Please make checks payable to: <strong>AAP</strong>, Chapter 2 and return to: P.O. Box 2134, Inglewood, <strong>CA</strong> 90305.<br />

Phone: 310/540-6240 or 323/757-1198 for more information.

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