CaSES Annual Clinical Conference Registration

Javascript is disabled

Javascript is disabled on your browser. Please enable it in order to use this form.

...

CaSES Annual Clinical Conference Registration

CaSES Online Registration

REGISTRATION (includes AACME certificate)
AACME accredited for Category 1 credits

Registration Cost / Day

Specialist Surgeons - $200 USD/$1500 TTD
DM Residents/medical students/nurses - $100USD/$750TTD

HOTEL INFORMATION
Tradewinds Hotel is a 5-star hotel in San Fernando, Trinidad & Tobago.

We have arranged a package rate under the group name T&TMA.

Please email Tonya Laing: tonya@tradewindshotel.com directly to avail yourselves of this package rate which includes breakfast and WiFi for up to 2 persons per Executive room.

Contact Information

Your Title*

Please select from options shown

Dr.

Mr.

Mrs.

Ms.

First Name*

Please enter your First name.

Last Name*

Please enter your last name.

Kindly indicate your salutation*

Please select from option presented.

E-mail Address*

Mailing Address*

Please seperate by using comma's (,)

Home Phone Number

Mobile Phone Number

Work Phone Number

Hospital / Organization

Work Mailing Address*

Please seperate by using comma's (,)

Accomodations / Dietary Needs (if applicable) *

I have a disability and may need special accommodations to fully participate.

Vegetarian

Other dietary restrictions

No Restrictions

Please contact a member of conference staff (listed below) that can assist with your needs:

The T&TMA HQ #1, 6th Street, Xavier St. Extension, Chaguanas. Trinidad 671-7378

Other dietary restrictions

Please state what they are.

Certificate collection*

Kindly indicate your preferred method of certificate collection:

T&T Medical Association

CaSES Annual Clinical Conference Registration

CaSES Online Registration

Contact Information

Please contact a member of conference staff (listed below) that can assist with your needs:

Your form has been submitted

Server Side Error