Get Registration Form - Bnac

Completing the Registration Form - BNAC online is a straightforward process that ensures your participation in the Cerebral Venous Function and Anomaly Program. This guide offers clear instructions for each section of the form, helping you efficiently provide the necessary information.

Follow the steps to complete your form online.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by entering your participant name in the designated field. This is a crucial step to identify your registration.
3. Provide your specialty in the appropriate section to give context to your participation.
4. Fill in your first name and last name as they appear on your identification.
5. Enter your complete address including street, city, state, and zip code for correspondence.
6. Include your phone number in the specified field for contact purposes.
7. Designate a billing contact name and phone number if this differs from your own information.
8. Indicate if you wish to opt-out of receiving future email notifications regarding BNAC CME Programs.
9. Select your status as RVT, MD, fellow, resident, or other, as applicable.
10. If you wish to receive an invoice, please check the corresponding box and provide the name and address for the billing organization.
11. Help us accommodate your special needs by detailing any requirements in the designated area.
12. Review the payment information section. Payment by check or draft is recommended, payable to University Neurology, Inc.
13. Ensure you are aware of the full program registration fee, which amounts to $4,750.00.
14. Once you have filled out all sections of the form, you may either save changes, download, print, or share the completed registration form as needed.

Complete and submit your Registration Form - BNAC online today to secure your spot in the program.