For questions or information, contact Mary Ann Troyano, International MeetingWorks,
by e-mail:  matroyano@aol.com or by phone:  703-425-1334.

  Promotion Code  

(speaker, medical resident or staff)

REGISTRATION
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No registration fees are available. Please return to the previous page and make a different selection.

REGISTRATION INFORMATION (* Required Field)

Choose the categories that best describe your profession (check all that apply)

(e.g., 000-000-0000)
(Not for publication - emergency on-site use only)
(e.g., 000-000-0000)


Describe your accommodation needs below:

How did you hear about this conference?

Is there any person or organization that we should inform about the conference?
Please list their names and email addresses.

We would like to recognize cancer survivors at the 2013 Dialogue. The following questions are optional.
Are you a cancer survivor?
If you are, would you like to be recognized as a cancer survivor on your conference name tag?

HOTEL REGISTRATION

Make your hotel reservation before Tuesday, February 26, 2013.
After that date, the hotel may not be able to honor the group room rate.

We ask that when you book your travel, you extend professional courtesy to our speakers and presenters by planning to stay through the close of the meeting on Friday, March 22 at 1:00 P.M.

To reserve a Non-Government Room at the Renaissance Baltimore Harborplace Hotel, click here.

To reserve a Government Room at the Renaissance Baltimore Harborplace Hotel, click here.

Renaissance Baltimore Harborplace Hotel
202 East Pratt Street, Baltimore, MD 21202
Phone: 410-547-1200 or 800-535-1201
Fax: 410-539-5780
This is a smoke-free hotel.

Additional information:

CONTINUING EDUCATION INFORMATION

Physician Continuing Medical Education

Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Global Education Group (Global) and Prevent Cancer Foundation. Global is accredited by the ACCME to provide continuing medical education for physicians.

I plan to apply for the following credits:

Physician Credit Designation

Nursing Credit Designation

Certified Health Education Specialists

Attendees should claim only the credit commensurate with the extent of their participation in the activity.
An "Application for Credit" can be found in your Welcome Packet. This needs to be completed as you attend your sessions.

For more information, please see the Continuing Education Information on the Dialogue for Action Web site or contact Global Education Group at 303-395-1782 or inquire@globaleducationgroup.com.

EVENT OPTIONS - See Agenda for Details

I plan to attend the following complimentary activities and events:

WEDNESDAY, MARCH 20
Lunch on Your Own





THURSDAY, MARCH 21


FRIDAY, MARCH 22
Lunch on your own • 1:00 PM

CONVERSATIONS

Choose Only One Conversation / See Agenda for Details

I prefer to attend the following conversation:

CONCURRENT CONVERSATIONS ? Friday, March 22, 10:00 AM to 11:30 AM  RESET  
Sold Out! 



Sold Out! 

We will try to honor your preferences; maintaining the diversity of perspectives for all conversations may require making substitutions for you.

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