Georgia Orthopaedic Society | Annual Meeting Registration

Deadline for Cloister Block of Rooms: August 22, 2011
Deadline for Meeting Pre-Registration: August 29, 2011

*Denotes required field.

*Name of Meeting Attendee:

Spouse/Guest Name:

*Mailing Address:

*City:

*State:

*Zip:

*Phone:

Fax:

*Email:

*Registration Category:
(check only one)

Non-Member ($350)
GOS Member ($250)
Resident Member ( No Charge)
Resident Guest ( No Charge)
GOS Candidate for Membership ($250)
Allied Medical Professional (PA, NP, RN) ($175)

*Accomodations:

The Cloister Other

Please call the Cloister at 800-732-4752 to reserve a room. Rooms are still available now at the rate of $355.00 (not including resort fee and tax).

*Social Events:

Cocktail Reception, Thursday, September 22, 6:30pm (No Charge)
YES # Attending NO

Spouse Breakfast, Friday, September 23, 8:30am-10am (No Charge)
YES # Attending NO

Dinner Dance, Friday, September 23, 7pm ($125 per person)
YES # Attending NO

Cocktail Party, Saturday, September 24, 6pm (No Charge)
YES # Attending NO

Children are welcome to attend the Thursday and Saturday evening events.

*Sports
Pre-Registration:

Walk/Run, Friday,September 23, 7am (No Charge)
YES # Attending NO

Name of Participants

Ladies Tennis Tournament, 10:30am, Sea Island Tennis Courts (No Charge)
YES # Attending NO

Name of Participants

GOS Men's & Ladies Classic Golf Tournament, 1: 15pm - Shotgun Start with Scramble Format - Includes Box Lunch on cart ($220 per person)
YES # Attending NO

Name of Participants	Handicap/Average Score

* Registration by mail or fax, please download:
1. Meeting Registration Form
2. Social & Sports Registration Form

Send completed forms
and check to:
Georgia Orthopaedic Society
LIZ NEARY
EXECUTIVE DIRECTOR
131 Holly Springs Drive
Peachtree City, GA 30269
FAX: 678-669-2754
lnearygos@gmail.com