Sunday

Registration


GENERAL INFORMATION AND REGISTRATION

HOT SPOTS HAWAII - 2017
AUGUST 18 - 20, 2017
Physicians: $400 or $175 per day
After June 1, $500
On-Site Registration:To Be Decided
Nurses, Residents PAs and NPs: $200.
After June 1, $250
Students: Free

Cancellation Policy: A $50 non-refundable fee is charged for cancellations before July 1. Thereafter one half of the fee will be returned for cancellations received before July 30. No refunds can be accepted after that date. All cancellations must be in writing.

To Enroll, please scroll down for a form you can cut and paste or access: Printable Registration Form

To contact us:

Doug Johnson
Phone: 808-342=6002
Email: dwj808@gmail.com


Copy, Paste, Fill in and fax or mail the following form to us with registration check. You can also email us for this Registration Form at DJE.

GENERAL INFORMATION AND REGISTRATION FORM
HOT SPOTS HAWAII -- AUGUST 18 - 20, 2017

Physicians: $400 After June 1, 500
Nurses, Residents, PAs and NPs: $200. After May 1, $250
Students: Free


Cancellation Policy: A $50 non-refundable fee is charged for cancellations before July 1. Thereafter one half of the fee will be returned for cancellations received before July 30. No refunds can be accepted after that date. All cancellations must be in writing.

Please copy, fill out form and make check payable to:
"Hot Spots in Dermatology"
c/o Douglas Johnson, M.D.
1380 Lusitana Street, Suite 401
Honolulu, HI 96813


Date:____________________________


Tuition fee enclosed: $_________

Total: $_________


Full Name: Last________________ First____________ Middle Initial____


Title__________________________Affiliation____________________________


Daytime Phone ( )______________Fax Number ( )________________


Email Address _______________________________


Street Address_______________________________________________


City_________________________ State__________ Zip Code_________


Specialty ______________________________________


Specialty (if non-MD)_____________________________________


Degree__________________