Open Scientific Meeting Registration 2017 27th Annual Open Scientific Meeting Aug 4-5, 2017 Boston, MA 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 * $500 Physician MSIS members$550 Physician non-member$200 Residents/Fellow$100 Medical Student$300 Other Healthcare Professionals$550 Industry Representatives 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.