Home Member Login Contact
 

Additional Registration Information

Registration Cancellation & Refund Policy

Registration refund requests must be submitted in writing to the SSMR Executive Office by April 22, 2019. All refund requests will be subject to a $25.00 processing fee. No refunds will be made after April 22, 2019.

Special Needs

For accommodations on the basis of disability or special dietary needs, please call (847) 517-7225 prior to April 22, 2019.

Questions?

Please feel free to contact the SSMR Executive Office:
(847) 517-7225
(847) 517-7229
info@ssmr.org

Annual Banquet Online Registration

2019 SSMR Annual Banquet

Sunday, May 5, 2019
7:00 pm – 10:00 pm
The Metropolitan Club of Chicago
Willis Tower 66th Floor, Oak Room
Chicago, Illinois 60606

Online registration closes on April 22, 2019.

Dinner and Cocktails will be from 7:00 p.m. until 10:00 p.m. located in Oak Room.
Casual attire is appropriate.
If you have any dietary needs, please contact the SSMR Executive Office
at (847) 517-7225 prior to April 22, 2019.
  • Please select the category that best describes your status:
  • Fellowship/Residency Program:
  • Expected Graduation Year:

Please Check ALL Areas of Practice Emphasis: (Check all that apply)












How did you learn about this conference?



INDUSTRY:
Thank you for your interest in registering for this event. Please contact JP Baunach with the SSMR Executive Office by phone at (847) 264-5942 or by email at jp@wjweiser.com to receive registration information.

Registrant Information

  • Address Type: 

Banquet Registration

  • # of people attending
  • @ $105.00 per person
  • As space allows, tickets will be available on-site for $120 per person.

Additional Attendee Information

Please provide us with the full name of each person that will be attending.

  • Guest 1 Name:
  • Guest 2 Name:
  • Guest 3 Name:

  • TOTAL REGISTRATION FEE:

The SSMR requires full payment for registration fees by check or credit card.

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

If paying by check, make check payable to: Society for the Study of Male Reproduction

Mail payment to:
Society for the Study of Male Reproduction
Two Woodfield Lake
1100 E. Woodfield Road, Suite 350
Schaumburg, IL 60173

  • This question is for testing whether you are a human visitor and to prevent automated spam submissions.
  • Enter in the Following Security Code: 545006

© 2011 – 2019 Society for the Study of Male Reproduction, Inc. All rights reserved. | Privacy Policy

1100 E. Woodfield Road, Suite 350 • Schaumburg IL 60173
Tel: (847) 517-7225 • Fax: (847) 517-7229 • Email: info@ssmr.org

Website Designed and Hosted by WJ Weiser & Associates, Inc.