OMIG ONLINE PAYMENT FORM
OMIG 2018 DUES / MEETING REGISTRATION / LUNCHEON / DONATIONS

Ocular Microbiology and Immunology Group (OMIG) 2018 Annual Meeting

Friday,
October 26, 2018, at Westin Michigan Avenue, Chicago, Illinois .

Registration begins at 6:45 a.m.
Annual meeting begins at 7:30 a.m. until 1:00 p.m.
The business luncheon meeting will follow from 1:15 p.m. to 3:00 p.m.

PAYMENT OPTIONS:
$95 Annual Dues with Meeting Registration AND Business Luncheon
$60 Annual Dues with Meeting Registration
$60 Annual Dues Only (not attending Meeting)
$35 Business Luncheon Only





MAKE A PAYMENT
Registration:
Payment for (choose one):
If attending the luncheon, do you have any dietary restrictions?
If yes, please indicate dietary restrictions.
For NAMETAG: Attendee's Name and Degree(s)

 

Donations:
Please Choose One:



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