Hotel Accommodations

or

Contact  the Hilton Hotel at 866-625-2496 (Group Reference # GSM). 
Contact the Palmetto Dunes Resort at 800-826-1649 (Group Reference #42) (or) EMAIL: szharris@resortquest.com

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Advance Register by May 21, 2010 and Receive a 10% Discount

Information:
* First Name
* Last Name
* E-mail Address
* Address (CME Certificate will be mailed to this address)
* City
* State
* Zip Code
* Telephone
Fax
Registering As:
Registering As:	Member $150.00 $135.00 2009 GSMA membership must be paid to qualify for this rate. Non-Member Physician $625.00 $562.50   New Member $710.00 $639.50   NMA & Other Affiliate Medical Society Member $150.00 $135.00 Registrant must show proof of current membership in NMA or Affiliate Medical Society to be eligible for discounted rate Resident $0.00 Fee Waived   Allied Health Professional/Other $50.00 $45.00   Events/Activties Only $0.00
Events/Activities:
Please indicate number of persons attending
June 9:	Welcoming Reception (@ $0.00 No Charge)
	Golf Tournament (@$100 - Participants MUST pre-register) Tennis Tournament (@$50.00 - Participants MUST pre-register for tournament)
June 10:	Awards Dinner/Dance (@$65.00)
June 11:	Family Luncheon: Adult Ticket (@$35.00) Family Luncheon: Child Ticket (@$15.00)
Additional Comments