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Non-Physician/Guest Registration Form
➊ ATTENDEE INFORMATION (Separate form for each individual)
➋ REGISTRATION FOR NON-PHYSICIAN ATTENDEES/GUESTS
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By registering for this event, I grant TPS permission to use my image for promotional purposes. I further understand and agree that my photo may be used in the TPS E-News, on the TPS website, on TPS social media, or in other promotional materials. Subtotal FULL MEETING Registration Fee: $
Name of Guest(s)/Spouse/Children Attending:
Please check the included meals and events you plan to attend
➍ EVENT TICKETS FOR NON-REGISTERED GUESTS (Not registering for the Meeting)
As a registered attendee of this event you may receive marketing from TPS exhibitors and sponsors that is unrelated to any CME accredited session. If you wish to opt out, please select the box. If you do not select to opt out, you may receive marketing information from a TPS exhibitor/supporter via email or mail.