World Robotic General Surgery Symposium - Hospimed CZ
World Robotic General Surgery Symposium - Hospimed CZ
World Robotic General Surgery Symposium - Hospimed CZ
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<strong>World</strong> <strong>Robotic</strong> <strong>General</strong> <strong>Surgery</strong> <strong>Symposium</strong><br />
June 27-29, 2011 Loews Miami Beach Hotel, Miami Beach, Florida<br />
Course Fee Includes all course materials, continental breakfasts and lunches.<br />
Ending April 30 Starting May 1 Other offers<br />
2.5 Day <strong>General</strong> <strong>Surgery</strong> Session - Physicians (June 27-29) $749/person $799/person<br />
2.5 Day <strong>General</strong> <strong>Surgery</strong> Session - Residents and Fellows (June 27-29) $599/person $649/person<br />
1 Day Colorectal Session - Physicians (June 28) $449/person $499/person<br />
1 Day Colorectal Session - Residents and Fellows (June 28) $379/person $419/person<br />
1 Day Allied Health (June 29) $299/person $349/person<br />
1 Day Executives (June 27) $299/person $349/person<br />
3 Day Allied Health (June 27-29) Circle one session per day to attend: $499/person $549/person<br />
Monday: URO / TRANSORAL / GEN SURG<br />
Tuesday: URO / GEN SURG / TRANSORAL<br />
3 Day Executives (June 27-29) Circle one session per day to attend: $499/person $549/person<br />
Tuesday: URO / GEN SURG / TRANSORAL<br />
Wednesday: CARDIOTHORACIC / PEDS / GEN SURG / URO<br />
Total Attendees______________ Total Fees________________<br />
Registration Form<br />
Please print. All fields required.<br />
Society of <strong>Robotic</strong><br />
<strong>Surgery</strong> Premier<br />
Membership: $200<br />
- Includes online Journal<br />
of <strong>Robotic</strong> <strong>Surgery</strong><br />
subscription<br />
- For more information<br />
please visit www.<br />
S<strong>Robotic</strong>s.org<br />
Journal of <strong>Robotic</strong><br />
<strong>Surgery</strong> 1 Year<br />
Subscription: $50<br />
Name __________________________________________________________Title ____________________________________________________<br />
(As it will appear on certificate)<br />
Address ________________________________________________________________________________________________________________<br />
City________________________________ State___________________ Country___________________________ Zip______________________<br />
Office Telephone _____________________________ Mobile Telephone____________________________ Fax __________________________<br />
E-mail________________________________________________________ Company/Organization_______________________________________<br />
Check: Make checks payable to Florida Hospital<br />
Visa/MC/Discover/American Express (Circle one)<br />
Card Number ______________________________________________ Exp. Date___________________<br />
Name as it Appears on Credit Card ____________________________________________________________________________________<br />
Authorized Signature ________________________________________________________________________________________________<br />
Please check here if you would like to receive additional information regarding DaVinci® <strong>Robotic</strong>s Training<br />
Mail or fax to:<br />
Pennyjo Griggs<br />
Florida Hospital Celebration Health<br />
410 Celebration Place, Suite 401<br />
Celebration, FL 34747<br />
Phone: (407) 303-4587<br />
Fax: (407) 303-4189<br />
For online registration or inquiries:<br />
Please visit our Web site at<br />
www.Global<strong>Robotic</strong>sInstitute.com<br />
Or contact Pennyjo Griggs at:<br />
Pennyjo.griggs@FLHosp.org<br />
(407) 303-4587<br />
www.Global<strong>Robotic</strong>sInstitute.com/WRS