Registration

Registration Fees (in usd):

Fees apply to payments received prior to the indicated deadlines.

Registration Category	Early Bird Fee Until Sep 23rd, 2012	Regular Fee Sep 24th - Nov. 8th, 2012	Onsite Fee From Nov 9th, 2012
ASRA/ESRA/LASRA/AOSRA member *	$ 710	$ 820	$ 850
Non Member Physician	$ 940	$ 1210	$ 1250
Resident/Fellow/In-training Member **	$ 150	$ 200	$ 250
Resident/Fellow/In-training non-Member **	$ 175	$ 225	$ 275
Nurse, PA***	$ 330	$ 385	$ 425
Other (non physician)	$ 360	$ 410	$ 450
Daily fee	$ 385	$ 495	$ 550
Associate Faculty	$ 150

* ASRA/ESRA/LASRA/AOSRA Members who wish to benefit from the reduced registration rates must have renewed their
membership for 2012 prior to registering to the Meeting.

** In order to benefit from the Resident/Fellow/In-training reduced fee, an official stamped letter, signed by the head of
    the department to confirm this status or a status ID must accompany the registration. Please send the letter by
    email to: reg-asrafall@kenes.com or by fax to +1-718-269-6188 made to the attention of ASRA 2012 registration
    department.

*** In order to benefit from the Nurse reduced fee, please send your Nursing License Number with the registration by
email to reg-asrafall@kenes.com or by fax to +1-718-269-6188 made to the attention of ASRA 2012 registration
department.

Asra optional workshops, sessions and events:

Pre-registration is required for all workshops and PBLD sessions and space is limited. Reserve your space today!

If you have already completed your registration and would like to register to workshops, PBLD sessions or events, kindly contact the Registration Manager reg-asrafall@kenes.com

Item	Early Bird Fee Until Sep 23rd, 2012	Regular Fee From Sep 24^th until Nov 8^th, 2012	Onsite Fee From Nov 9^th, 2012
PBLD sessions	$ 60
Residents PBLD Lunch Session	Free of charge, however pre registration is required. no. of tickets is limited. FULLY BOOKED
Resident Boot Camp	$ 50
Breakfast Interactive Sessions	$ 50
Standard Workshops	$ 295	$ 345	$ 395
Special Workshop- Full day	$ 795	$ 845	$ 895
Special Workshop- Half day	$ 395	$ 445	$ 495
Additional ticket to the Networking Reception	$ 40
President's Reception	$ 55

In Case the session is fully booked and you want to be added to the waiting list please e mail us -reg-asrafall@kenes.com

In order to check which workshops are fully booked please view the following link - http://www2.kenes.com/asra/reg/Documents/Fully_Booked_Workshops.pdf

Abstract submission: deadline extended to august 13, 2012!

In order for your abstract to be submitted for review, there is a $25 abstract submission fee per abstract.

In order to pay this fee you are required to complete the registration process. Please note that you have the
option to cancel your Registration and receive a full refund, as per the cancellation policy below.
Abstract Notifications will be sent out in the first two weeks of September, 2012.
If the abstract presenting author is different than the participant registering, please contact asra@kenes.com

Fees for all Meeting Participants include:

Participation in all Scientific Sessions (excluding sessions at additional cost)
Meeting Bag and printed material
Access to the Exhibition Area
Invitation to the Exhibitor Reception on Thursday, Nov 15th, 2012
Light refreshments between sessions as per the timetable (Breakfast is included)

payment methods:

Payment of registration fees (in USD) can be made as follows:

By Credit Card:
Visa, MasterCard or American Express

By Bank Transfer:
Please make drafts payable to:
Bank Details: JPMorgan Chase Bank, 10 S. Dearborn St., Chicago, IL 60603
Routing: 021000021
Name on Account: American Society of Regional Anesthesia and Pain Medicine
Beneficiary’s account: 000000472018410
SWIFT Code: CHASUS33

Please ensure that the name of the meeting and of the participant is stated on the bank transfer.
Bank charges are the responsibility of the participant and should be paid at source in addition to the registration fees.

By Check:
Pay to the order of: ASRA
Please send the check to:
American Society of Regional Anesthesia and Pain Medicine
120 West Center Court | Schaumburg | IL 60195

Registration will only be valid upon receipt of the full payment by the registration department according to the deadline indicated. An email confirming registration will only be sent after receipt of the required fees.

Outstanding payments will be collected on-site and charged the on-site rate. A copy of the bank transfer (or other proof of payment) will be required in the event that registration fees were not credited to the meeting account on time.

Registration Cancellation Policy:

Faxed or emailed:

Cancellations received up and including Sep 23rd, 2012 – full refund.
Cancellations received between Sep 24th to Oct. 14th, 2012 – 50% will be refunded less $50 cancellation fees.
After Oct. 14th, 2012– no refund will be made.

Group Registration:

For group registration (10 participants and more) please contact the registration department at: reg-asrafall@kenes.com

ASRA Fall 2012 Registration Department

Toll Free Number: +1-866-739-4452
Fax: +1-718-269-6188
E-mail: reg-asrafall@kenes.com