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Conference Registration Costs
Conference cost for a renewing or newly-joining SAN member
*Your 2012 $50 membership dues are owed now.		 $200.00
Conference cost for a non-member of SAN
 $450.00
SAN Membership Dues $50
Dinner Reservation Costs
Thursday, May 24, 2012
Welcome Dinner “Meet and Mingle” Buffet: For attendees and their families
Al fresco buffet menu includes barbecue, fish, pasta and vegetarian options.
(NOTE: Entry tickets required for each person eating will be issued during onsite conference registration.)
Conference participant ($25.00 each) Total number: x $25.00 = $
Children ~ Ages infant-3yrs (No charge) Total number: x $0.00 = $
Children ~ Ages 4-12yrs ($15.00 each) Total number: x $15.00 = $
All other guests ~ Ages 13 and older ($25.00 each) Total number: x $25.00 = $
Saturday, May 26, 2012
SAN Banquet Lobster and Seafood Buffet: ATTENDEES AND THEIR FAMILIES
Al fresco buffet menu includes 1 lobster per person, fresh seafood, steak, and vegetarian options.
(NOTE: Entry tickets required for each person eating will be issued during onsite conference registration.
ONE lobster ticket will be issued per person.) Children’s menu does not include a lobster.
Conference participant ($50.00 each) Total number: x $50.00 = $
Children ~ Ages infant-3yrs (No charge) Total number: x $0.00 = $
Children ~ Ages 4-12yrs ($25.00 each) Total number: x $25.00 = $
Each guests (13 years and older) ($50.00 each) Total number: x $50.00 = $
International credit card processing fee $100.00
*Name: *Email: *Phone:
*Medical License #: *State of License: *Specialty:
TOTAL DUE (Conference + Dinners):

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