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Registration

Member Discounts If you register at the member rate for this or any NLA meeting and you are not a member or your membership dues are not current, you will be charged $100 dues for the current year and automatically made a member of the National Lipid Association.

Required fields are marked in bold!

Registrant Information:

First Name:
Middle Name:
Last Name:
Degree:
Badge:	(First Name or Nick Name for your badge)
Address 1:
Address 2:
Address 3:
City:
State:	Zip:
Country:
E-mail address:
Phone:
Fax:

Choose a Date Please select one
August 26 - 27, 2010 prior the Clinical Lipid Update - Summer 2010
The Mayflower Hotel - Washington, DC

Course Fees
NLA Members $395.00
Non-Members $585.00
Industry $900.00
* Trainee - $0.00 (Must complete the downloadable registration form and must submit along with a letter of verification of fellow/trainee status in order to qualify for this rate)

ADA Compliance: Please list any special needs including dietary requirements in the space below.

Payment Information:

Name on Card:
Card Type:
Card Number:
Expiration:	(MM/YY)

Registration:
Registration and payment must be received no later than 2 weeks prior to the meeting. After this date, a syllabus and name badge cannot be guaranteed-so register TODAY!

Cancellation Policy: Telephone cancellations will not be accepted. A written notice of cancellation must be received no later than two weeks prior to the meeting for a refund. A $25 administrative fee will be deducted. No refunds will be made after the respective cancellation deadlines.

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