Online Registration: Please use the registration form below.

Scholarship Application and Registration: Click here.

Course Tuition: Includes instructional materials, continental breakfast, lunches, refreshment breaks, and reception.

Tuition:

  • $675 Physician

  • $375 Active Duty Military

  • $375 Industry Professionals

  • $125 Resident

  • $125 Other Healthcare

 

Registration Form: Please fill in all fields.

Name
Suffix

Address

City

State

Zip

Phone

E-Mail

Tuition Type
$675 Physician$375 Active Duty Military$375 Industry Professionals$125 Resident$125 Other Healthcare

Credit Card Type
VisaMastercardDiscoverAmex

Credit Card Number:

Security Code (back of card):

Expiration Date:

Name as it appears on the card:

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Additional Registration Methods:

Phone: To register by phone, contact (847)324-3965 or (847)324-3937

Mail: Download registration form here.
The entire page can be mailed with payment to:

Chicago Trauma Symposium
P.O. Box 57300
Chicago, IL 60657

Please make checks payable to: Illinois Bone & Joint Foundation

For additional information or for any special needs, please call 847-324-3965 or e-mail tracy@drjimenez.com