School of Medicine

Intermountain Dermatology Society

Registration

Registration fee:

M.D., D.O.: $450.00

PA-C, N.P.: $400.00

The registration fee includes all lectures, course materials, and Friday lunch vouchers. Additional guests are welcome for a fee of $10.00 each (children, 12 and under, are free). The registration fee also includes a non-refundable administrative charge of $30.00. Please note that there will be no refunds for cancellations made after August 11, 2017.  If you have any questions, please contact Lisa Smith, IDS Coordinator at 801-581-6465 or email lisa.s.smith@hsc.utah.edu.

Payment Method

Payment by credit card:

Registration
Name of Attendee

Payment by check: If paying by check, please fill out the registration form and mail in with your check. Please make check payable to Intermountain Dermatology Society.


Mail registration form and check to:

Intermountain Dermatology Society
30 North 1900 East, 4A330 SOM
Salt Lake City, UT 84132-2409