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Breast And Women's Imaging Symposium - American Roentgen Ray ...

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Who Should Attend<br />

Radiologists and other breast and<br />

women’s imaging health care<br />

professionals interested in advances in<br />

detection, diagnosis, management and<br />

treatment of breast diseases and benign<br />

breast abnormalities.<br />

Program Goals<br />

At the conclusion of this activity,<br />

participants will be able to describe<br />

advances in the detection, diagnosis and<br />

treatment of breast and gynecologic<br />

diseases and discuss and implement<br />

strategies to appropriately manage<br />

these diseases. In addition participants<br />

Registration Form<br />

First Name: ____ _______________________ M.I.: _____ Last Name: ____ ___________________________ Degrees (MD, PhD, etc.) _______________<br />

Address: _________________________________________________________________________________________________________________________________________________________________________________________<br />

City: ____________________________________________________________ State/Province: __________ Zip/Postal Code: _____________________ Country: ___________<br />

Phone (please include country and city codes): ________________________________________________________ Fax: _____________________________________________________<br />

E-mail (Registration confirmation is sent to this e-mail address): _______________________________________________________________________________________________________________<br />

Emergency Contact: _____________________________________________________________________________ Phone: ___________ ____________________________________________________<br />

Workshop Enrollment Please enter your preferences for each day indicated. Please only register for one session of each workshop.<br />

Thursday, October 13: 4:00 pm Friday, October 14: 7:00 am<br />

____ Automated Ultrasound of the <strong>Breast</strong> (US) ____ Automated Ultrasound of the <strong>Breast</strong> (US)<br />

____ MRI-Guided Interventions (MR, VI) ____ MRI-Guided Interventions (MR, VI)<br />

General Registration Fees Please circle the appropriate category<br />

Early Bird Regular<br />

Before Sept. 9 Before Sept. 26 On-site<br />

ARRS/SAWI Physician Member $895 $995 $1095<br />

ARRS/SAWI In-Training Member $525 $625 $725<br />

ARRS Technologist or Nurse Member $525 $625 $725<br />

Nonmembers $1395 $1495 $1595<br />

Total Fees: $ ________________________<br />

will be familiar with new and emerging<br />

technologies and their adoption in a<br />

time of health care change.<br />

Accreditation Statement<br />

The <strong>American</strong> <strong>Roentgen</strong> <strong>Ray</strong><br />

Society (ARRS) is accredited by the<br />

Accreditation Council for Continuing<br />

Medical Education (ACCME) to provide<br />

continuing medical education activities<br />

for physicians.<br />

Designation Statement<br />

The ARRS designates this live<br />

educational activity for a maximum of<br />

30.5 AMA PRA Category 1 Credit(s).<br />

____ Check Enclosed (in U.S. funds drawn on a U.S. bank made payable to ARRS)<br />

____ Credit Card: ____ Visa ____ MasterCard ____ <strong>American</strong> Express<br />

The physician should only claim credit<br />

commensurate with the extent of<br />

their participation in the activity. The<br />

<strong>American</strong> Medical Association has<br />

determined that physicians not licensed<br />

in the U.S. who participate in this<br />

CME activity are eligible for AMA PRA<br />

Category 1 Credit(s).<br />

Modality Credits<br />

Many of the courses are coded so you<br />

can match your modality credit needs<br />

with the courses that provide those<br />

credits.<br />

Nonmembers may apply<br />

for ARRS membership and<br />

pay the member fees.<br />

Go to www.arrs.org or call<br />

1-866-940-2777 or<br />

703-729-3353 for details.<br />

Card Holder’s Name: _________________________________________________________________________________________________________________________________________________________________<br />

Credit Card #: ____________________________________________________________________________________________________________________________Expiration Date:______________________________<br />

Signature: ________________________________________________________________________________________________________________________________________________________________________________<br />

Register online at www.arrs.org or by completing this form and faxing it to 703-729-4839 or mailing it to ARRS,<br />

Meeting Registration, 44211 Slatestone Court, Leesburg, VA 20176-5109. Please contact ARRS if you have any questions<br />

at 866-940-2777 or 703-729-3353 or meeting@arrs.org. Cancellation requests received by Monday, September 26 will be<br />

refunded after the meeting minus a $100 cancellation fee. After September 26, absolutely no refunds will be issued<br />

and all registrations will only be handled onsite.

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