Symposium Registration
39th Annual Diagnostic Sonography Symposium
Vanderbilt University School of Medicine
Department of Radiology and Radiological Sciences
Embassy Suites Nashville South-Cool Springs
820 Crescent Centre Drive │ Franklin, Tennessee 37067
July 18-19, 2015
* Required information.
** Your registration confirmation and CME credits will be sent by e-mail. Please provide requested e-mail address to receive both.
CONTACT INFORMATION (Please print clearly)
Name*Degrees/Title
Company/Affiliation
Mailing Address (1)*
Mailing Address (2)
City/State/Zip*
Telephone(s)*
E-Mail**
Registration type* (please check appropriate boxes)
NON-VANDERBILT UNIVERSITY MEDICAL CENTER
□ Physicians:
(received on or before July 1, 2015) $390.00
(after July 1, 2015) $440.00
□ Sonographers:
(received on or before July 1, 2015) $200.00
(after July 1, 2015) $250.00
□ Sonography Students Only: $ 75.00
VANDERBILT UNIVERSITY MEDICAL CENTER
□ Vanderbilt Physicians: $100.00
□ Vanderbilt Residents: $ 75.00
□ Vanderbilt Sonographers & Sonography Students: $ 50.00