Online Registration

24th Annual Fall Scientific Meeting of SMSNA
November 16-19, 2023, San Diego, CA

Before you start your registration, please note:

You are required to complete all steps to register.
You can return to a previous step to make changes.
It is not possible to save or return to an incomplete registration.

Personal details

First name*

Middle name

Last name*

Field of work*

Degree

Organization*

Department

Function*

Social

Twitter username

Address

Mailing address

Institute

Home

Address*

Country*

State

Zip code*

City*

Delegate e-mail*

Secondary e-mail

Telephone*

AUA in-service exam (Registration for the ISE in San Diego is full)

I would like to take the AUA in-service exam on-site during the SMSNA Meeting in San Diego (your spot at the AUA in-service exam in San Diego is secured once confirmed with an email by the SMSNA office)
ISE in San Diego is full.

Yes

Special needs / remarks:

Attendee category

Please select your attendee category

Members
	SMSNA Member (MD)
	SMSNA Member (PhD/other)
	SMSNA Member (APP/AHP/MSW)
	SMSNA Member (Fellow)*
	SMSNA Member (Trainee)*
	SMSNA Member (Resident)*
	SMSNA Member (Student)**

Non-Members
	Non-Member (MD)
	Non-Member (PhD/other)
	Non-Member (APP/AHP/MSW)
	Non-Member (Fellow)*
	Non-Member (Trainee)*
	Non-Member (Resident)*
	Non-Member (Student)**
	Industry Employee (Non-Exhibiting)***

* A letter of the chairman of the department is compulsory.
** A copy of your valid student ID card or a letter from your institution (on their letterhead) verifying your status should be sent to the SMSNA Executive Office at meeting@smsna.org
*** Full-time employees of companies with a product or service to exhibit, who are attending for educational purposes only. This registration category is not for employees of a registered exhibiting company. Those registrations are handled by the appointmed meeting contact from your company.

24th Annual Fall Scientific Meeting of SMSNANovember 16-19, 2023, San Diego, CA

24th Annual Fall Scientific Meeting of SMSNA
November 16-19, 2023, San Diego, CA