2019 NHMS Scientific Conference Registration

Trending Topics in Medicine Nov. 15-17, 2019

Early Bird Rates are in Effect until 08-31-2019
A. Conference Fees for CME
1. Choose Registration Type:         
Rates:
2. Select Attendance Day(s): *, or  *  
* Includes Saturday Lunch CME Total
Saturday Lunch for: Spouse/Adult Guest Child < 12
$ 40 $ 40
3.  How many Guests/Children? Total
Saturday Lunch Total $  $  $
Note: Saturday Lunch included for CME Registrants
Indicate below how many and for which dinner(s) including yourself.
Friday Night Dinner Adult(s) Child < 12
$ 100 $ 30 Total
4.  How many Guests/Children?
Friday Dinner Total $  $  $
Saturday Night Inaugural Dinner Adult(s) Child < 12
$ 100 $ 30
5. How many Guests/Children? Total
Saturday Dinner Total $  $  $
Meal Total $
Grand Total $
B. Contact Information
  MI: 
  Suffix: 
C. Activities - Free
Family Treasure Hunt Sign-Up  # Adults   Child: age(s)
enter # adults in first box; next enter age of each child    #1   #2   #3
   Verify Entries      Clear Entries 
No refunds after 10/30. Refunds before 10/30 subject to $30 processing fee. Must be postmarked before Sept 1, to receive early bird rate.
Need any special accommodation? Please call us at (603) 224-1909 or NH Toll Free (800) 564-1909.