Get Anesthesia History Summer Meeting Registration Form

Filling out the Anesthesia History Summer Meeting Registration Form online is a straightforward process that ensures your participation in this important event. This guide provides clear, step-by-step instructions to help you navigate the form easily and efficiently.

Follow the steps to complete the registration form with ease.

1. Press the ‘Get Form’ button to access the Anesthesia History Summer Meeting Registration Form and open it for completion.
2. Begin by providing your contact information in the designated fields. Enter your first name, middle name or initial, and last name in the ‘Name of Registrant’ section. Include the name of your institution, if applicable.
3. Select your preferred mailing address by choosing between your work/business address and home address. Fill in the complete address, including street address, city, state or province, and ZIP or postal code.
4. Specify your professional degree by selecting all that apply from the list provided, including MD, PhD, DO, or other. Indicate your medical specialty, ensuring that you choose the most relevant options.
5. Enter your work phone and home phone numbers, including all necessary country and city/area codes. Ensure that the numbers are current and accurate.
6. Provide your email address in the designated field to receive communications regarding the event.
7. If you have any special assistance needs or dietary restrictions, describe them in the ‘Special Needs’ section.
8. Select your registration options and fees. The base registration fee is $200, and optional events such as the Welcoming Reception and Gala Black Tie Dinner may incur additional fees. Indicate your selections by checking the appropriate boxes.
9. Fill in the payment information section. If you are paying by check, indicate the amount enclosed and make checks payable to the Mayo Foundation. For credit card payments, select your card type, enter the account number, expiration date, and name of the cardholder as it appears on the card.
10. Review all information for accuracy before submitting. Save your changes, download a copy of the completed form, and print or share it as needed. Ensure that the signed section is completed if paying by credit card.

Complete your registration by filling out the Anesthesia History Summer Meeting Registration Form online today!