Pathology Conference Registration Form

PATHOLOGY REGISTRATION SITE

Pathology Conference On The Beach

Fontainebleau Miami Beach, Florida January 21-24, 2025

Personal Information

Last name *

Last name required

First name *

First name required

Middle initial

Specialty *

Specialty required

Degree

Month and Day of Birth * (For CME Purposes)

Day *

Practice Information

Type of practice *

Academic

Private

Hospital

Other

Mailing List

Preferred Mailing Address
If using institutional address, please include department (if applicable) and institutional name

Department *

Department required

Institution *

Institution required

Mailing address *

You must enter your address

Country

City *

City is required

State

Zip Code *

You must enter your Zip code. If outside from US, enter only numeric section

Mobile Phone *

Fax

Email *

Registration Terms

Registration by Mail

Please print the registration form and include it with payment. Checks and money orders should be made payable to University of Miami Pathology Department and mailed via secure mail (Federal Express, UPS) to the following address:

Melissa Stedman
Sr. Administrative Officer
Department of Pathology & Laboratory Medicine
1120 NW 14th St, 14th Floor, Miami, FL 33136

Cancellation Terms

Refunds (less $75 cancellation fee) will be made ONLY if written notice of cancellation is received prior to January 3, 2025. After this date, NO REFUNDS WILL BE ISSUED. In cases where a course is cancelled due to insufficient registrations, a full tuition refund will be made. Refunds will be processed after completion of the conference.

For questions please feel free to contact Arisleyda Infante at ainfante@med.miami.edu. https://med.miami.edu/departments/pathology-and-laboratory-medicine/education/um-annual-pathology-conference

Registration fees

Early Bird Registration

On or before 10/1/2024

Advanced Registration

Begins 10/2/2024

Regular Registration

Begins 12/2/2024

Early Bird Registration Fee

Advanced Registration Fee

Regular Registration Fee

1.	Physician
2.	Physician-Active Duty
3.	UM/JMH Alumni Physician
4.	Pathology Assistant
5.	Retired Physicians
6.	Laboratory Professional
7.	Fellow
8.	Resident
9.	Industry Representative

825.00
725.00
725.00
575.00
575.00
575.00
300.00
300.00
1525.00

1025.00
925.00
925.00
775.00
775.00
775.00
350.00
350.00
1725.00

1225.00
1125.00
1100.00
975.00
975.00
975.00
400.00
400.00
1925.00

Registration includes participation in all general session lectures and workshops, educational materials, daily breakfast and break, and cocktail reception.