NEFS - Annual Meeting RSVP

18th Annual Meeting ~ RSVP FORM ~ May 7, 2022 ~ Boston Park Plaza, Boston

Name Prefix

First Name *

Last Name *

Title *

Institution/Affiliation *

Address Type

Address Country

Address 1 *

Address 2

Address City *

Address State

Address Zip Code *

Email Address *

Office Phone

Phone Country

Phone Number *

Cell Phone

Assistant's Contact Name

Assistant's Email Address

RATES:(please check below):

Choose a rate:

$350 - NEFS MEMBER MDs, PhDs and Industry

$250 - NEFS MEMBER Nurses, Embryologists, Lab Techs, Students, Fellows, Trainees and Other Support Staff

$450 - **NON-MEMBER MDs, PhDs and Industry

$350 - **NON-MEMBER Nurses, Embryologists, Lab Techs, Students, Fellows, Trainees and Other

$100 - ADULT GUEST

$500 - Extra Exhibitor Booth Rep

(ADULT Guests are friends and family members who accompany a full meeting restrant and may attend meals and social functions. Paid guests will receive a required nametag to get into social events.)
**If you apply for membership before the meeting, you may receive the member rate registration. All registrations will be verified. Membership is good for the 2022 calendar year.

Guest's Name (Please list all)

Special Assistance

I require special assistance (wheelchair, auxiliary aids)

I have special dietary needs

Please explain your dietary needs below:

Dietary Needs or Additional Comments: