Pain Symposium Registration Form

2008 Weill Cornell 2nd Pain Medicine Symposium: Evidence Based Practice & Updates in Pain Medicine

Saturday, November 8, 2008 from 8:00am - 5:00pm
Uris Auditorium, Weill Cornell Medical College - 1300 York Avenue (corner E 69th Street)

Complete this online registration and you will receive a confirmation email.











  11. Physicians - Early Bird Registration Fee
    ($150.00 before October 15, 2008)
    Physicians - $195.00
    (after October 15, 2008 and on-site)
    FREE to Fellows, Residents, Nurses
    (must pre-register and provide proof of status)

  13. If you wish to pay by credit card please indicate the card type, and include a daytime phone number if different from above. Our staff will contact you during business hours 9-5pm Eastern Time to take the payment information via phone.
    Contact for credit Card purchase if different than above


  16. If you are paying by check make payable to Weill Cornell Medical College and attach the email confirmation to your payment prior to mailing.

Checks should be mailed to

Attn: Marlene Augustine
Pain Medicine
Anesthesia Department
Box 124
525 East 68th St
New York, NY 10065
Registration Fee includes breakfast, coffee breaks, lunch and dinner. Refund Policy: A handling fee of $25 will be deducted from your refund for cancellation. Refund request must be received one week prior to the program. No refund will be made thereafter.
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