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One-Day Workshop - Motility in Clinical Practice: Practical Applications of Motility Testing

Registration Form


Saturday, August 1, 2015, 8:30 am - 3:00 pm
Northwestern Memorial Hospital
251 E. Huron Street
Feinberg Pavilion, Third Floor, Conference Room A
Chicago, Illinois 60611

Please note: 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing is only available for 'Faculty, Industry, or Other' or 'Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician' members who have signed in and have paid their membership dues. Please sign in with your email address or username for access to 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing.

To register, fill out the form below.

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Prices

Please note: 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing is only available for 'Faculty, Industry, or Other' or 'Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician' members who have signed in and have paid their membership dues. Please sign in with your email address or username for access to 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing.


Academic Physician :
$100 before Jul 19
$125 on or after Jul 19
$150 Onsite

Private Practice Physician:
$100 before Jul 19
$125 on or after Jul 19
$150 Onsite

Fellow:
$100 before Jul 19
$125 on or after Jul 19
$150 Onsite

Nurse:
$100 before Jul 19
$125 on or after Jul 19
$150 Onsite

Motility Technician:
$100 before Jul 19
$125 on or after Jul 19
$150 Onsite

Company Representative:
$100 before Jul 19
$125 on or after Jul 19
$150 Onsite

Please note: 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing is only available for 'Faculty, Industry, or Other' or 'Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician' members who have signed in and have paid their membership dues. Please sign in with your email address or username for access to 'Member (Faculty, Industry, or Other)' and 'Allied Health Member (Nurse, Nurse Practitioner, Physician Assistant, Registered Dietician, Psychologist, Motility Technician)' pricing.1) Learn how to incorporate new technologies into clinical decision making.
2) Develop the proper strategy for using new technologies: When and why.
3) Case-based hands-on interpretation of esophageal and anorectal manometry.

Cancellation Policy

Your registration fee, less a $50 administrative fee, will be refunded if written notification is received by ANMS on or before July 22, 2015 (Fax number: (734) 699-1136). No refunds will be granted after July 22, 2015.


Consent to use Photographic Images & Video

Registration and attendance at the ANMS Meeting and other activities constitute an agreement by the registrant to use and distribution (both now and in the future) of the registrant or attendee's image or voice in photographs, videotapes, electronic reproductions, and audiotapes of such events and activities by ANMS and other third parties, including but not limited to the venue, host city, and the host CVB.


Payment Information

Registrants paying by credit card: Your billing address has to match the address on file with your credit card.


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