2019 Annual Doctors Meeting

Are you a doctor or support center staff?

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Location

Attendee's First Name:

Attendee's Last Name:

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Hilton Rosemont / Chicago O'Hare
5550 N. River Road, Rosemont, IL 60018

Please check the night(s) you need a room. We will reserve the room for you. The company covers your Friday night stay. A Thursday and/or Saturday night stay would cost $133+ a night, and is at the attendee's expense.

Nights in Hotel:

Thursday, April 11

Friday, April 12

Saturday, April 13

No Room Needed

Room Preference (based upon availability):

Single King

Double Double

No Preference

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Your Meal Choice:

Pan Seared Boneless Breast of Chicken with Marsala Mushroom Sauce

Salmon Florentine in a Puff Pastry with Dill Cream Sauce

Mushroom and Vegetable Strudel (Vegetarian)

Special Dietary Needs: A guest is invited to attend the Friday night reception with you. Will you have a guest joining you this year?

Yes

No

Guest Full Name: Your Guest's Meal Choice:

Pan Seared Boneless Breast of Chicken with Marsala Mushroom Sauce

Salmon Florentine in a Puff Pastry with Dill Cream Sauce

Mushroom and Vegetable Strudel (Vegetarian)

Special Dietary Needs:

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Attendee Information

Accommodations

Reception & Awards Ceremony