Home About Us Meetings & Events Annual Meeting Meeting Information Registration Hotel Information Travel & Transportation Evening Functions Accreditation Needs & Objectives Program Schedule Past Meetings Advocacy Member Directory Membership Application Links Contact Us Registration Wisconsin Rheumatology Association 2020 Annual Meeting March 6 - 7, 2020 The American Club Resort Kohler, Wisconsin The deadline for discounted registration is Tuesday, February 4, 2020. After 2/4/2020, regular registration fees will apply to online and on-site registration. Online Registration will be open through Tuesday, February 25, 2020 at noon CDT. After this date, registration will be available on-site at the meeting. Registration fees are subject to change. To lock in these rates, register now! Please select the category that best describes your status: --Select-- Industry Employee Fellow Full Time Administrator Nonphysician Provider Other Other Medical Professional Physician Researcher Resident Rheumatologist Student/Trainee Fellowship/Residency Program: Expected Graduation Year: --Select-- 2019 2020 2021 2022 2023 2024 2025 How did you learn about this conference? --Select-- Email Registration Brochure Mailer Website Word of Mouth/Colleague Member Newsletter Calendar/Monthly Listing Please Check ALL Areas of Practice Emphasis: (Check all that apply) Ankylosing SpondylitisPsoriatic ArthritisFibromyalgiaRheumatoid ArthritisGoutSclerodermaLupusSjogren’s SyndromeOsteoarthritisDoes Not Apply Registrant Information Address Type: HomeOffice Meeting Registration Registration Categories Early Discounted through 2/4/2020 Regular Fees after 2/4/2020 Physician $50 $75 Nonphysician Provider $25 $50 Practice Managers $25 $50 Student $0 $0 Fellow $0 $0 Resident $0 $0 Industry Employee - Supporting/MSL Industry Employee whose company is already supporting WRA OR Industry Medical Science Liaison (Proof of MSL Title may be required before confirmation of registration) $175 Industry Employee - Non-Supporting Industry Employee whose company is NOT already supporting WRA $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 WRA please contact Brittany Gyuricza in the Registration Department at (847) 264-5963 or by email at email@example.com. Do you plan to attend the Annual Banquet on Friday, March 6, 2020? YesNo One Spouse or guest is welcome to attend both the Welcome Reception and Annual Banquet complimentary. Please pre-register as space is limited. --Select-- Spouse Guest TOTAL REGISTRATION FEE: The WRA requires full payment for registration fees by check or credit card. Payment Information (must be made in U.S. dollars) CheckCredit Card --Select Card-- Visa MasterCard American Express If paying by check, make check payable to: Wisconsin Rheumatology Association Mail payment to: Wisconsin Rheumatology Association Two Woodfield Lake 1100 E. Woodfield Road, Suite 350 Schaumburg, IL 60173 I have read, understood and agree to the electronic delivery of the data collected and payment amount. SIGNATURE: By selecting “I Agree” I represent and acknowledge that: I have read, understood, and consented to electronic delivery of the data collected and payment entered above. I have granted authorization to WRA in association with WJ Weiser & Associates, Inc. to charge the amount indicated on the credit card provided. I am the authorized user of the credit card listed above and that the associated information entered (account holder name, account number, billing address, etc.) is accurate. I intend the act of selecting “I Agree” to be my legal signature to this agreement. Enter in the Following Security Code: 165783 This question is for testing whether you are a human visitor and to prevent automated spam submissions. Registration Cancellation and Refund Policy Registration refund requests must be submitted in writing to the WRA Executive Office no later than 2/4/2020. All refund requests will be subject to a $10 processing fee. No refunds will be made after 2/4/2020.