AGM Registration

For the 2019 Conference program, please click
ROCKY MOUNTAIN EYE CONFERENCE PROGRAM - SCIENTIFIC MEETING
ROCKY MOUNTAIN EYE CONFERENCE PROGRAM - TECH & ADMIN MEETING

Please fill in the form below to register.

Contact Name:  
Email Address:  
Mailing Address:  
Institution Name:  
Phone Number:  

Please select the number and category of attendees using the drop down menu.

Physician Member ($350)
Physician Non-member ($750)
Students - Medical, Residents, Fellows, Technicians (No cost to registrants)
Nurse ($300)
Technician ($300)
Administrative Staff ($225)

Please list the names of all attendees in the text box below:

Number of attendees and guests attending Saturday's Banquet (your conference fee includes Dinner for you *and* one adult guest (children under 8 N/C) – additional guests are $60 each – payable on PAYMENTS PAGE TAB OF THIS WEBSITE using e-mail transfer to albertaeyesurgeons@gmail.com or Paypal.

For hotel rooms, please quote 190201EPSA when booking at the Rimrock Resort Hotel for our negotiated rate of $198/night.

To book your room, CLICK HERE OR Call: 1-888-746-7625

EPSAA (Room Reservations) January 2019 - MUST BE RECEIVED BY JAN 4, 2019

Now go to the PAYMENT PAGE tab at the top of this page to pay for your registrations, memberships and extra banquet tickets, using E-MAIL TRANSFER (saves EPSAA 2.9%) or the secure Paypal.