23rd Open Scientific Meeting Aug 2 -3, 2013Philadelphia PA Registration Form Full Name * Credentials * MD MBBS PhD DO EdD Other Institution * Address * City, State * Zip/Postal Code * Country * E-Mail Address * This Email Id has been already registered. Telephone * Facsimile * Are you a member of MSIS? * YesNo Registration * $425.00 Physicians$300.00 Industry Representatives$225.00 Nurses and other Healthcare Professionals$200.00 Residents and Fellows in an Accredited Program Dietary Restrictions * The hotel is compliant with the American Disabilities Act. Please explain if you need assistance. Special Needs * To use CAPTCHA, you need Really Simple CAPTCHA plugin installed.