RAI Home Meeting Information Registration Hotel Information Travel & Transportation Evening Function Accreditation Needs & Objectives Program Schedule Rheumatology Association of Iowa Two Woodfield Lake 1100 E. Woodfield Road Suite 350 Schaumburg, IL 60173 (847) 517-7225 (847) 517-7229 firstname.lastname@example.org Become a Member SIGN UP FOR OUR MAILING LIST Managed by WJ Weiser & Associates, Inc. Registration Rheumatology Association of Iowa 5th Annual Meeting March 1 - 2, 2019 The Hotel At Kirkwood Center Cedar Rapids, IA Thank you for your interest in attending the RAI Annual Meeting. The online registration is now closed; however, on-site registration will be available. Please select the category that best describes your status: Select One Rheumatologist Nonphysician Provider Resident Student/Trainee Physician Researcher Fellow Industry Employee Full Time Administrator Other Medical Professional Fellowship/Residency Program: Expected Graduation Year: Select One 2018 2019 2020 2021 2022 2023 2024 2025 Please Check ALL Areas of Practice Emphasis: (Check all that apply) Ankylosing SpondylitisPsoriatic ArthritisFibromyalgiaRheumatoid ArthritisGoutSclerodermaLupusSjogren’s SyndromeOsteoarthritisDoes Not Apply How did you learn about this conference? (Check all that apply) Advertisement in ProfessionalEmailJournalMember NewsletterCalendar/Monthly ListingRegistration Brochure Mailer RAI Membership Dues (Join or Renew Today) and attend the RAI 5th Annual Meeting complimentary! MEMBERSHIP APPLICATION (*If you pay the membership fee, you may register for the meeting complimentary.) I am applying for membership as a: Physician $50 Nonphysician Provider (e.g. RN, NP, Practice Manager) $25 Registrant Information Address Type: HomeOffice Meeting Registration Registration Categories Fee Physician – Member† $0 Physician – Nonmember $50 Nonphysician Provider – Member† $0 Nonphysician Provider – Nonmember $25 Student $0 Fellow $0 Resident $0 † (May not be employed by Industry) Industry Employee - Supporting or MSL Industry Employee whose company is already supporting RAI OR Industry Medical Science Liaison (Proof of MSL Title may be required before confirmation of registration) $150 Industry Employee - Non-Supporting Industry Employee whose company is NOT already supporting RAI $1,250 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 RAI please contact Brittany Kallman in the Registration Department at (847) 264-5963 or email at email@example.com. TOTAL REGISTRATION FEE: The Rheumatology Association of Iowa requires full payment for registration fees by check or credit card. Registration Cancellation and Refund Policy Registration refund requests must be submitted in writing to the RAI Executive Office no later than 2/7/2019. All refund requests will be subject to a $5.00 processing fee. No refunds will be made after 2/7/2019.