1 2015 Clinical Lipid Update

SPRING CLINICAL
LIPID UPDATE
2015
2015 Clinical Lipid Update
Jointly hosted by the Southwest and Pacific regional chapters
February 27–March1, 2015
Grand Hyatt Hotel • Denver, CO
FEBRUARY 27–MARCH 1, 2015
DENVER,
CO
NATIONAL LIPID ASSOCIATION
Guest name(s), if attending meeting:
1
First NameMiddle InitialLast Name
Mailing Address
Membership status:
I am currently a member.
My application for membership has
been submitted and confirmed.
I will apply at www.lipid.org.
Please send me membership
information.
CityState or ProvinceZip
Country
Phone
Email
Check all that apply:
2
Emergency Contact/Phone
MD/DO/PhD
Circle fee based on
attendee
type
RN
Cell Phone
NP
PA
RPH
NLA Member
NLA Member Non-member
Early Bird Rate Discounted Rate
Rate
Before 1/27/15
After1/27/15
PharmD
Trainee
Rate†
Clinical Lipid Update
3
4
$495 $545 $895$75
February 27–March 1, 2015
Enter Discou
Includes one admission badge
nt
Code for
to Exhibit Hall for all food
$50 Off
functions.
Professional Development
Masters in Lipidology Course$750
February 26–27, 2015
$1250$395*
NLA Lipid Academy$550
$550 $950$0
February 26–27, 2015
Registration Fee Total
$_______
$_______
$_______
$_______
Guest Fees and Special Events
Exhibit Hall Pass-Guest(s)$150
Guest and Special Event Totals
$150
Combined Total Fees
–$ 50
$_____________
Payment Method
VISA
MC
AMEX
Credit Card #
Signature
Name on Card
Check
X____ = $_______
$_____________
Enter promo code for $50 discount
on Clinical Lipid Update only _________________
5
$750
Make checks payable to the NLA
Exp. Date
RD
Other ____________________________
Registration: Registration and payment must be
received no later than January 27, 2015. After this date
a syllabus and name badge cannot be guaranteed.
Cancellation: Telephone cancellations will not be
accepted. A written notice of cancellation must be
received no later than January 27, 2015. This includes
social events and guest fees. There will be a $100 fee
for all cancellations.
Special needs: _______________________________
________________________________________
ADA Compliance: Attendees who need additional
reasonable accommodations or who have special
needs should contact the NLA at 904.998.0854.
*Master’s Course: To purchase the NLA-SAPs please go
to: www.lipid.org/education/nlasap.
†Trainee Rate: Available for those individuals actively
enrolled in a graduate or postgraduate training
program for the treatment or investigation of lipid
disorders and in pursuit of full credentialing in their
specialized area of medical study. A letter from
the program director or the school registrar must
accompany the application. Discount of $50 does
not apply to Trainee Rate.
Registration Discount Disclaimer: Discount codes
cannot be retroactively applied to existing meeting
registrations. The meeting discount codes are
applicable to new registrants only.
3 Easy Ways To Register
Mail
National Lipid Association
6816 Southpoint Parkway, Suite 1000
Jacksonville, FL 32216
Fax
NLA at 904-998-0855
Fax with credit card number and signature
Online
www.lipid.org/springclu
Register Online at lipid.org /springclu