2017 Registration

Thank you for your interest in participating in the 2017 New Frontiers in Cosmetic Medicine Symposium! Please choose the correct category below and submit your registration form. Your registration will be complete and a seat held once you have made your payment.

*First Name:


*Last Name:
*Address:

Address 2:
*Degree (PA-C/ARNP/MD/RN):


*Email:
*City:


Country:
*Phone Number:
*State, *Zip/Postal Code:
*You MUST select a program below to complete the registration:
(Earlybird Rate ends September 1)
*Medical Specialty (eg: Derm, Plastics...): Medical License Expiration Date (eg: 01/15/2018):
Medical License Number:

Credit Card Information

*First and Last Name on Credit Card:


Credit Card Type:


*Credit Card Number:

Choose Registration:

Total:

*Card Expiration Date:
Month Year *CVV Code

Terms & Conditions

a. Once your registration is complete, you will receive a confirmation email and a seat will be reserved. We encourage you to complete the registration early to guarantee entrance to the symposium.

b. Cancellation Policy
NFCM will offer a 100% refund within 72 hours from time of purchase. After 72 hours, refunds will be less 50%. All refunds must be made in writing via email or post marked/tax stamped no later than 30 days before the event. No refund will be made if the request is made within 30 days of the educational event. Refunds will not be issued to non-show registrants. Substitutions are always welcome, with the payment of a processing fee of $50. All cancellation notifications should be emailed to mfalero@leadingstar.com. NFCM reserves the right to cancel the symposium up to four (4) weeks prior to the event. In the event of cancellation, conference organizers cannot be responsible for reimbursement of airline fees and/or accommodation expenses.

c. Badge Information
By registering for the NFCM, the attendee understands and agrees that attendee's name, city, and state may be shared with other attendees and exhibitors. By allowing an exhibitor to capture your conference badge information, attendee understands, agrees and consents to the sharing of attendee's contact information with the company that captured your conference badge information.

d. Meals
The symposium fee includes breakfast, lunch and coffee breaks for the PARTICIPANT ONLY. There will be meals provided by pharmaceutical or other industry as part of the non-CME educational programs. It is the responsibility of the participant to know their state laws and employer regulations regarding acceptance of meals and gifts. Conference registrants should not register to participate in the meals if they are barred from accepting meals and gifts (inclusive of certain thresholds) provided by the pharmaceutical and/or other industry by their employer and/or state licensing board. NFCM cannot provide separate meals for participants who do not register to attend non-CME educational programs, and participants will need to make their own meal arrangements.

e. Communication, Confirmation and Receipts
You must provide a valid Email address when you register online to receive a symposium confirmation/receipt. Communications regarding symposium updates will only be made via email. Please remember to check your spam/junk box for confirmation emails and receipts.

f. Rules and Regulations: Session Photography and/or Video Recording
Photography and/or video recording of any kind are strictly prohibited in the sessions. Violators of this policy are subject to ejection from the symposium and refunds will not be issued. Each registrant will be required to agree to these terms while completing their registration and should abide by them.

g. Consent
You consent to the photographing and recording of your likeness and voice and the use of these photographs and/or recordings singularly or in conjunction with other photographs and/or recordings for advertising, publicity, commercial or other business purposes. You understand that the term “photograph” encompasses both still photographs and motion picture footage. You further consent to the reproduction and/or authorization by the NFCM to reproduce and use said photographs and recordings, for use in all domestic and foreign markets. You hereby release NFCM and any of its associated or affiliated companies, their directors, officers, agents, employees and customers, and appointed advertising agencies, their directors, officers, agents and employees from all claims of every kind on account of such use. You agree that the NFCM shall be the sole owner of all material captured at NFCM and reproduced for post-event products.

*I agree to the terms & conditions

Verify the reCAPTCHA by clicking the checkbox below.