9th Annual International Symposium of Ultrasound for Regional Anesthesia (ISURA)

The registration will be processed once full payment has been received.

Please Complete All The Fields Marked With *

I. Registration Personal Data

Title	* First Name	* Last Name

Clinic/Department/Organization

* Full Address

* City	State/Province


* Country	Postal/Zip Code

* E-mail	Telephone

* Special Meal Requirement (If none please input N/A)

II. Registration Fees

Register me for:

Ultrasound for Regional Anesthesia (June 22 - 24)

Lecture Series (A, B, C and D) Only	$620 CAD
Lecture Series (A, B, C and D) + Workshop 1 (June 22) + Workshop 2 (June 23)	$870 CAD
Lecture Series (A, B, C and D) + Master Class (June 22) + Workshop 2 (June 23)	$840 CAD

Registration fee includes:

1. Participation in the selected scientific sessions as indicated
2. Breakfast and lunch on June 22, 23 and 24, 2012
3. Coffee breaks on June 22, 23 and 24, 2012
4. Delegate's bag with printed material of the symposium
5. Online access to the symposium syllabus
6. Welcome reception with the exhibitors (Friday, June 22, 2012)
7. Evening reception (Saturday, June 23, 2012)
8. Entrance to the Exhibition Hall

Ultrasound for Pain Medicine (June 22 - 24)

Full Course (Lectures + Workshops)

$850 CAD

Registration fee includes:

1. Participation in all scientific sessions (lectures and workshops)
2. Breakfast on June 23 and 24, 2012
3. Lunch on June 22, 23 and 24, 2012
4. Coffee breaks on June 22, 23 and 24, 2012
5. Delegate's bag with printed material of the symposium
6. Online access to the symposium syllabus
7. Welcome reception with the exhibitors (Friday, June 22, 2012)
8. Evening reception (Saturday, June 23, 2012)
9. Entrance to the Exhibition Hall

Musculoskeletal Imaging (June 24 - 25)

Lectures + Workshop

$700 CAD

Registration fee includes:

1. Participation in all scientific sessions (lectures and workshops)
2. Breakfast on June 25, 2012
3. Lunch on June 24 and 25, 2012
4. Coffee breaks on June 24, and 25, 2012
5. Delegate's bag with printed material of the symposium
6. Online access to the symposium syllabus

Satellite Meeting (June 25)

Focused Cardiac Ultrasound Study
(min 12; max 30 registrants) FULL

$1,290 CAD

Registration fee includes:

1. Participation in all scientific sessions (lectures and workshops)
2. Breakfast, lunch and breaks on June 25, 2012
3. Pre course FOCUS e-learning modules with 8-hours of multimedia didactic
content and more than 500 multimedia questions as pre-tests and post-tests
4. Access to e-learning online modules for one full year (before and after the course)
5. 8 Category 1 CME credits with CME certificate at the completion of each course
6. Hands on practice on echocardiography simulators
7. Workshop device to participants ratio of 1:3.

Gastric Ultrasound Workshop
(max 30 registrants)

$250 CAD

Registration fee includes:

1. Participation in all scientific sessions (lectures and workshops)
2. Coffee break on June 25, 2012; lunch on your own
3. Delegate's bag with printed material of the symposium
4. Online access to the symposium syllabus

Needle Tracking and Visualization Hands On Workshop
(max 30 registrants)

$300 CAD

Registration fee includes:

1. Participation in all scientific sessions (lectures and workshops)
2. Breakfast and breaks on June 25, 2012; lunch on your own
3. Delegate's bag with printed material of the symposium
4. Online access to the symposium syllabus
5. Scanning and needling in animal and cadaver models

Registration Cancellation Policy

All cancellations must be emailed, faxed, or posted:

- Cancellation before April 6, 2012 - full refund less $50 administrative fee
- Cancellation between April 6 and May 11, 2012 - 50% refund
- Cancellation after May 11, 2012 - no refund

Payment

Payment of registration fees should be made in Canadian dollars through PayPal.