REGISTRATION

Name

Email Address

Phone Number

Are you a current member of CSOM?

Yes

No

Are you a current member of AOA?

Yes

No

AOA #

Will you be attending via Zoom /computer sessions?

Yes

No

Will you be attending any in-person sessions?

Yes

No

Select Registration Type:

Current CSOM Active Member (both days) – $250

CSOM active member rate for Saturday (only) September 9th, (8 credits) – $180

CSOM active member rate for Sunday (only), September 10th (4 credits) – $100

Non-member CSOM rate for both days – $350

Non-member CSOM rate for Saturday (September 9th) only – $240

Non-member CSOM rate for Sunday ( September 10th) only – $175

Residents – $100

Advanced Practice Providers and/or Registered Nurses – $150

Retired CSOM Member – $125

CSOM FALL HYBRID CME CONFERENCE 2023 REGISTRATION