Hawaiian Eye & Retina 2021 Meeting

Please enter the attendee information in the required fields below.

Email Address *

First Name *

Middle Initial

Last Name *

Suffix

Degree

Country *

Street Address *

City *

State / Province *

Zip / Postal Code *

Phone *

Profession *

Year of Graduation *

By processing this registration, I understand and agree to the following:

I have read and accepted the Terms & Conditions outlined in the Privacy Policy as it pertains to the information we collect for registration, information collected while using our site, and the usage of cookies on this website.

I agree the Wyanoke Group may keep me informed with emails containing meeting updates and related information.

Refund Policy: Without any penalties, you may cancel your registration through April 26, 2021 (request in writing to registration@HealioLive.com) and room reservation up until 14 days prior to your arrival. Should the meeting need to be canceled altogether, you’ll receive a 100% refund on your registration fee and room deposit.

MEETING REGISTRATION FORM

Registration Fee

How did you hear about the meeting? (select all that apply)