Association of Educators in Imaging and Radiologic Sciences, Inc
 
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Annual Meeting Registration

AEIRS has gone paperless! Please complete this form online and make your payment through PayPal or print the completed registration form and mail your payment to the AEIRS office.

First Name:
Last Name:
Nickname (for Badge):
Degree/Credentials:
Employer:
Title/Department:
Registration confirmation will be emailed to the address below
E-mail Address:
AEIRS Member Number:
Select as applicable:
2019 Speaker
2019 Poster Presenter
Past Honors Lecturer
Life Member
Honorary Member
Fellow
Past President
New Member
Home Address Work Address
Mailing Address:
City:
State:
Zip Code
Country:
Work Phone:
Fax:
Human Test - What is the sum of 3 + 1:

Registration Fees (select only one)

AEIRS 2019 Annual Meeting July 10 - 12, 2019
Includes all educational sessions, business luncheon (only if selected), Welcome Reception (only if selected), all refreshment breaks.
AEIRS Members: $325
Non-Members: $425
Vendors: $300
Guest (with paying member): $50 (No CE credits)
None
 

On-Site Registration Per Day and Single-Day Rates
AEIRS Members: $200
Non-Members: $250
Vendors: $175
Guest (with paying member): $50 (No CE credits)
None

Indicate day:
Thursday, July 11, 2019
(Includes only educational sessions)
Friday, July 12, 2019
(Includes only educational sessions)
N/A
 

New AEIRS Membership & 2019 Annual Meeting Registration Only $425! Non-members can save $100 by joining TODAY!
Receive a full year of AEIRS membership benefits and reduced conference registration. This registration form will serve as your membership application.

Annual Meeting + 2019 Membership
N/A
 

The Free "Extras"

Be sure to select from these free “extra” events when you register. You MUST register for each free Extra to attend the event.
Yes, I will be attending the Welcome Reception on Wednesday, July 10, 2019, 5:30–7:00 PM at no extra charge.
N/A


Yes, I will be attending the Business Luncheon on Thursday, July 11, 2019, 12:45-2:00 PM at no extra charge.
(Let AEIRS know if you need to order a special lunch due to dietary needs:
Vegetarian    Gluten-Free    N/A)

N/A


Yes, I will be attending the Poster Presentations/Refreshments on Thursday, July 11, 2019, 4:00-5:30 PM at no extra charge.
N/A


Yes, I want to donate to the silent auction and will complete the Silent Auction Form.
N/A

How to register

Register by mail. Do not press the continue button if you are mailing your payment. If you press continue, your registration form will be automatically sent to the AEIRS office without a payment. Print this completed form and mail it with your registration payment to the AEIRS Office.

Mail to:
AEIRS Annual Meeting
526 Kingwood Drive #412
Kingwood, Texas 77339-4473


Register Online. Press the continue button. You will be transferred over to PayPal to submit your payment. You do not need to be a registered PayPal user to submit payment via credit card.