Online Registration

Regional Meetings
June 1 – June 2, 2018
InterContinental New York Times Square
New York, New York

Online registration will be available until Sunday, May 20, 2018. After this date, onsite registration will be available.

Registration fees are subject to change. To lock in these rates, register now!
  • Please select the category that best describes your status:*
  • Specialty:*

How did you learn about this conference? (Check all that apply)

Industry Registration
Your submission will need to be approved prior to confirmation of your registration. Approval may be based on current Industry support. To find out if your company is currently supporting LUGPA, please contact JP Baunach in the Industry Relations Department at (847) 264-5942 or by email at

Attendee Information*

  • First Name:*
  • Last Name:*
  • Degree(s):
  • Badge First Name:*
  • Title:*
  • Practice Name:*
  • Practice Address 1:*
  • Practice Address 2:
  • City:*
  • State:*
  • Zip Code:*
  • Phone:*
  • Fax:
  • Email:*

Meeting Registration*

  • Registration Categories
  • Fee
  • $0
  • $149
  • †Registration for member practices is complimentary. Up to $1000 in travel reimbursement for attendees from Member groups will be available.   download form


Payment Information (must be made in U.S. dollars)

  • Billing Address:*
  • ZIP:*
  • Card Type:*
  • Name on Card:*
  • Card Number:*
  • Expiration Date: (mmyy)*
  • Card Verification #:*
  • Enter Security Code: 6921

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