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CSIMS 34th Annual Conference
Start date : October 11, 2019
End date : October 13, 2019

First Name*:
Last Name*:
Email*:
Salutation:

Company/Organization:
Address:
Address 2:
City:
State:
Postal Code:
Mobile Phone (e.g. 5554441212)*:
Name on Badge*:
Special Request:
Are you a member of CSIMS?*:
Name of Guest/s (if applicable):
 
 
 
  *EVENT REGISTRATION OPTION
 
SrNoOptionSelectCost
3134disabled3616Registration for new members: $295295.00
3134disabled3617Registration at the door: $395295.00
3134disabled3624Registration for existing members75.00

  ADDITIONAL OPTIONS

OptionHow manySelectCost
3134disabled3626Guest/s (up to 5)0195.00
 
                                                                                              Total    
 
 
 
  *PAYMENT METHOD
 
Enter Name on Credit card* :
 
 
 PAYMENT TERMS

Credit Card - You will be directed to PayPal site, where you will be able to pay by credit card without an account also.

Check - Please make check payable to CSIMS and mail it to:

Attn: Dr Goldstein, 

CSIMS Headquarters,

3000 W. MacArthur Blvd Suite #600,

Santa Ana, CA 92704


HOTEL INFORMATION

The Westin San Diego Gaslamp Quarter 

910 Broadway Cir, San Diego, CA 92101

Website

Room Rate: 189 USD per night

Last Day to Book: Friday, September 20, 2019

Book your group rate for CSIMS 34th Annual Conference

 
 CANCELLATION TERMS

TECHNOLOGY SUPPORT

If you have any problem in submitting the form, please contact [email protected].

For any other questions, please contact Patricia Aranas at [email protected].