October 11-14, 2007Rochester, Minnesota, USA

19th Biennial Comprehensive Course in Rhinology and Rhinoplasty

Course Directors:Oren Friedman, M.D.John F. Pallanch, M.D.

Mayo School of Continuing Medical Education

Rhinofest 2007

COURSEFEATURES• International

Faculty

• Hands-OnDissection

• ExpertProdissection

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General Information

Course DescriptionThis program features aninternational faculty giving a broadperspective to this comprehensiveprogram. Topics include endoscopicmanagement of sinus and nasaldisease, medical and surgicaltreatment of refractory chronic sinusdisease, treatment of nasal tumorsboth benign and malignant,septorhinoplasty, cosmetic surgeryof the nose and face, and thepathophysiology of chronicrhinosinusitis. Participants mayattend lectures only or actively par-ticipate in the laboratory dissection.

Course LearningObjectivesUpon conclusion of this program,participants should be able to:• Diagnose abnormalities on CT

scans of the sinuses.• Evaluate patients who have the

symptoms of chronic rhinosinusitis.• Formulate a rationale for medical

and surgical treatment based onthe pathophysiology of chronicrhinosinusitis.

• Explain the concepts ofendoscopic sinus surgery.

• Describe the rationale given fordifferent types of sinus surgeryincluding conventional FESS,balloon dilation, MIST, andexternal approaches.

• Identify complications duringand after sinus surgery.

• Describe basic concepts ofseptoplasty.

• Describe basic concepts ofrhinoplasty.

• Describe basic concepts offunctional nasal surgery.

• Describe the anatomy of the nose.• Describe how to avoid

complications in rhinoplasty.

Attendance at this Mayo course doesnot indicate nor guarantee competenceor proficiency in the performance ofany procedures which may bediscussed or taught in this course.

Intended AudienceThis course is designed forpracticing clinicians and scientistsas well as residents with an interestin rhinology and rhinoplasty. It isalso intended for nursing staffinvolved with the care of patientswith nasal problems.

CreditMayo Clinic College of Medicine isaccredited by the AccreditationCouncil for Continuing MedicalEducation to provide continuingmedical education for physicians.

Mayo Clinic College of Medicinedesignates this educational activityfor a maximum of 31.25 AMA PRACategory 1 Credits™. Physiciansshould only claim creditcommensurate with the extent oftheir participation in the activity.

Other Health Care ProfessionalsA certificate of attendance will beprovided to other health careprofessionals for requesting creditsin accordance with state nursingboards, specialty societies, or otherprofessional associations.

Educational GrantsThis course is supported, in part,by educational grants frommultiple companies in accordancewith ACCME Standards.

At the time of this printing, acomplete listing of commercialsupporters was not available.Appropriate acknowledgment willbe given to all supporters at thetime of the meeting.

Date and LocationRhinofest 2007 will be held October11-14, 2007. Course headquarterswill be located in LeightonAuditorium on the second floor ofthe Siebens Medical EducationBuilding, Mayo Clinic, 100 SecondAvenue Southwest, Rochester, MN.

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General Information

Meeting facilities are easilyaccessible by skyway andpedestrian subway, which connectMayo Clinic to shops, restaurants,and hotels.

RegistrationTo register online, visit http://www.mayo.edu/cme/otorhinolaryngology.htmlor complete the attached registrationform and return by mail or fax.The registration fee includestuition, comprehensive coursesyllabus, continental breakfasts,lunches Thursday–Saturday, breakrefreshments, reception, and coursedinner Friday. Although it is notMayo School of CME policy tolimit the number of registrants for acourse, conference room facilities maynecessitate closing of enrollment;therefore, early registration isadvised. A letter of confirmation willbe sent upon receipt of paymentand completed registration form.Please present the confirmationletter when checking in at themeeting registration desk.

Cancellation PolicyIf you cancel your participation inthis course, your registration fee,less a $75 administrative fee, will berefunded when written notificationis received by Mayo School of CMEbefore September 25, 2007 (fax#:507-284-0532). No refunds will bemade after September 25, 2007.

Mayo School of CME reserves theright to cancel or postpone any coursedue to unforeseen circumstances.In the unlikely event Mayo Schoolof CME must cancel or postponethis course, Mayo School of CMEwill refund the registration fee, butis not responsible for any relatedcosts, charges, or expenses toparticipants, including fees assessedby airline/travel/lodging agencies.

TravelRochester, Minnesota is serviced bya modern international airport withmultiple flights daily from Chicagoand Minneapolis via American orNorthwest Airlines. Access to andfrom the airport is provided bytaxi, shuttle service, and rental car.The airport is locatedapproximately 10 miles from theMayo Clinic campus.

For assistance with your travelarrangements at negotiated rates,you may contact Carlson WagonlitTravel at 866-MAYO-TVL(866-629-6885); press 3 for Group/Meeting Reservations, then 1 as atraveler attending the meeting forfurther travel assistance.

Note to Travelers: Several cities inthe United States are namedRochester. When you make airlinereservations and check yourbaggage, be sure that yourdestination is Rochester, Minnesota(RST) and that your baggage hasbeen properly tagged.

Travel arrangements are the soleresponsibility of the individualregistrant.

LodgingAccommodationsGuest rooms have been reservedfor attendees and their guests withspecial course rates at each of thefollowing downtown Rochesterhotels. In order to receive thespecial rate, reservations must bemade before the room block isfilled or before the expiration dateof September 19, 2007, whichevercomes first. Reservations will betaken following this date based onspace and rate availability. Pleaseidentify yourself as a participant ofthe Mayo Clinic Rhinofest Meetingwhen making your reservation.

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General Information

Rochester Marriott Hotel101 First Avenue SW877-623-7775 or 507-280-6000$109 single/double

Radisson Plaza Hotel150 South Broadway800-333-3333 or 507-281-8000$129 Plaza-Level Room$105 Standard Room

The hotels listed above are connectedby skyway and pedestrian subwayto conference facilities, downtownshops, and restaurants. You mayalso wish to visit the RochesterConvention and Visitors Bureauwebsite (www.rochestercvb.org) foradditional accommodation options.

Lodging arrangements are the soleresponsibility of the individualregistrant.

ParkingParking is available in hotel, city, andMayo patient/visitor ramps. Thecost for parking is not included in theregistration fee.

Leisure ActivitiesPublic tours of Mayo Clinic areprovided each day of the weekbeginning at 10:00 am, except forholidays. The tours originate fromJudd Auditorium, Subway Level ofthe Mayo Building, and lastapproximately 1.5 hours. The tourincludes a 20-minute film on thehistory and operation of the MayoClinic plus visits to points ofinterest in the Mayo, Plummer andHilton Buildings. Please makeadvance reservations by calling507-538-1091.

Mall of America, the largest fully-enclosed retail and familyentertainment complex in theUnited States, is an easy 90-minutedrive or shuttle ride from Rochester,

Minnesota. Along with 500 retailstores, restaurants, and nightclubs,the mall features The Park @ MOA,the largest indoor theme park, andUnderWater World, a walk throughan aquarium featuring 15,000 fish.Rochester Direct shuttle service willpick up at all local hotels, anddeparts every two hours from 9:00am – 5:00 pm. The cost is $34 perperson same day round trip. Forreservations, call Rochester Direct at800-280-9270. Check the shuttleschedule at their website:www.rochesterdirect.com

Reception and Dinner at Mayowood MansionAttendees and their guest(s) arecordially invited to join the coursefaculty for the reception and coursedinner at Mayowood Mansion,former home of Charles Mayo onFriday, October 12, 2007. *Seating is limited. Pre-registrationis requested.

Faculty DisclosureAs a provider accredited by ACCME,Mayo Clinic College of Medicine(Mayo School of CME) must ensurebalance, independence, objectivity andscientific rigor in its educationalactivities. Course director(s), planningcommittee, faculty, and all others whoare in a position to control the contentof this educational activity are requiredto disclose all relevant financialrelationships with any commercialinterest related to the subject matter ofthe educational activity. Safeguardsagainst commercial bias have been putin place. Faculty also will disclose anyoff-label and/or investigational use ofpharmaceuticals or instrumentsdiscussed in their presentation.Disclosure of this information will bepublished in course materials so thoseparticipants in the activity mayformulate their own judgmentsregarding the presentation.

* See registration form for RSVP.

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Faculty

Course DirectorsOren Friedman, M.D.Assistant Professor ofOtolaryngologyDepartment ofOtorhinolaryngologyMayo Clinic, Rochester, MN

John F. Pallanch, M.D.Assistant Professor ofOtolaryngologyDepartment ofOtorhinolaryngologyMayo Clinic, Rochester, MN

Mayo Clinic FacultyStephen F. Bansberg, M.D.Assistant Professor ofOtolaryngologyDepartment ofOtorhinolaryngologyMayo Clinic, Scottsdale, AZ

Charles W. Beatty, M.D.Professor of OtolaryngologyDepartment ofOtorhinolaryngologyMayo Clinic, Rochester, MN

Christopher Garvey, M.D.Assistant Professor ofOtolaryngologyDepartment ofOtorhinolaryngologyMayo Clinic, Jacksonville, FL

Jan L. Kasperbauer, M.D.Assistant Professor of AnatomyProfessor of OtolaryngologyDepartment ofOtorhinolaryngologyMayo Clinic, Rochester, MN

Eric J. Moore, M.D.Assistant Professor ofOtolaryngologyDepartment ofOtorhinolaryngologyMayo Clinic, Rochester, MN

Kerry D. Olsen, M.D.Professor of OtolaryngologyDepartment ofOtorhinolaryngologyMayo Clinic, Rochester, MN

Kevin L. Rieck, M.D.Instructor in SurgeryDepartment of Oral & MaxillofacialSurgeryMayo Clinic, Rochester, MN

Distinguished Guest FacultyDavid W. Kennedy, M.D.Professor and DirectorDivision of Rhinology Department ofOtorhinolaryngology: Head andNeck SurgeryVice Dean for Professional Servicesand Senior Vice PresidentUniversity of Pennsylvania HealthSystemPhiladelphia, PA

Hannes Braun, M.D.Professor of OtorhinolaryngologyUniversity of GrazAustria

Harlan Dresner, M.D., Ph.D.Assistant ProfessorDepartment of OtolaryngologyUniversity of Minnesota,Minneapolis, MN

Peter A. Hilger, M.D.Professor of OtolaryngologyDepartment of OtolaryngologyUniversity of MinnesotaMinneapolis, MN

Peter H. Hwang, M.D.Associate ProfessorDirector, Stanford Sinus CenterStanford University School ofMedicinePalo Alto, CA

Eugene B. Kern, M.D.George M and Edna B. EndicottProfessor of Medicine, Emeritus,Mayo Foundation, Rochester, MNProfessor Rhinology and FacialPlastic Surgery, Emeritus, MayoClinic School of MedicineProfessor in Residence Departmentof ORL, SUNY BuffaloBuffalo, NY

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Faculty

During and after thecadaver dissection,

attendees will be able toscan their specimen and

study the anatomicchanges they've created.

All specimens will bescanned prior to

dissection and imageguidance systems will beavailable for use during

dissection.

Norbert Gorski, M.D.ENT Department Medical UniversityWarsaw, Poland

Iwona Gromek, M.D., Ph.D.ENT Department Medical UniversityWarsaw, Poland

Antoni Krzeski, M.D., Ph.D.Professor of OtolarygologyENT Department Medical UniversityWarsaw, Poland

Norman Pastorek, M.D.Clinical Professor and ClinicalDirector of the Division of FacialPlastic SurgeryDepartment of Otolaryngology New York Hospital – Wiell CornellMedical CenterClinical Professor and Director ofthe Facial Plastic SurgeryFellowship Program New York University School ofMedicine

Jens U. Ponikau, M.D.Assistant Professor of ClinicalOtorhinolaryngology, University at BuffaloThe State University of New YorkBuffalo, NY

Edmund Pribitkin, M.D.ProfessorDirector, Facial Plastic SurgeryDepartment of Otolaryngology – Head and Neck SurgeryThomas Jefferson UniversityPhilladelphia, PA

Anna Tuszynska, M.D.ENT Department Medical UniversityWarsaw, Poland

2009 CourseDates:

Oct 22-25, 2009

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Program Schedule

THURSDAY,OCTOBER 11, 20077:00 a.m. Registration, Continental

Breakfast and ExhibitsLeighton Auditorium

7:50 a.m. Welcome andAnnouncementsCharles W. Beatty, M.D.and John F. Pallanch, M.D.

Moderator:John F. Pallanch, M.D.

Medical Aspects ofChronic Rhinosinusitis

8:00 a.m. Chronic Rhinosinusitis/Nasal Polyposis: WhatDo We Know?Hannes Braun, M.D.

8:20 a.m. Immunologic Aspectsof Rhinosinusitis - AResponse to FungiJens U. Ponikau, M.D.

9:00 a.m. Modifications toTreatment Based on theCurrent DataJens U. Ponikau, M.D.

9:15 a.m. Questions from theAudienceJens U. Ponikau, M.D.

9:35 a.m. Osteitis in ChronicRhinosinusitisAnna Tuszynska, M.D.

9:55 a.m. BiofilmsNorbert Gorski, M.D.

10:10 a.m. Break and Exhibitors

10:30 a.m. Maximal MedicalTherapy for CRSNorbert Gorski, M.D.

Physiology of theParanasal Sinuses –Surgery: Philosophyand Theoretical Aspects

10:45 a.m. Nasal and Sinus Functionand SymptomsHannes Braun, M.D.

11:05 a.m. Ciliary Dysfunction andMucosal Regenerationin Chronic RhinosinusitisPeter H. Hwang, M.D.

11:25 a.m. Endoscopic SinusSurgery – Philosophyand IndicationsFESS: TheoreticalAspects and TechniquesHannes Braun, M.D.

11:50 a.m. Questions from theAudienceJohn F. Pallanch, M.D.

12:00 p.m. LunchElizabethan Room,Kahler Hotel

Rhinologic Manifestationsof Aspirin ExacerbatedRespiratory DiseaseAntoni Krzeski, M.D., Ph.D.and Iwona Gromek, M.D.,Ph.D.

Moderator:Oren Friedman, M.D.

Endoscopic SinusSurgery

1:00 p.m. Preoperative CT -ChecklistHannes Braun, M.D.

1:20 p.m. Pros and Cons ofPowered InstrumentationJohn F. Pallanch, M.D.

1:40 p.m. Complications ofEndoscopic Sinus SurgeryHannes Braun, M.D.

1:55 p.m. Endoscopic SinusSurgery with BalloonDilation (BalloonSinuplasty)Christopher Garvey, M.D.

2:10 p.m. Repair of CSF LeaksStephen F. Bansberg, M.D.and Antoni Krzeski, M.D.,Ph.D.

2:30 p.m. State of the Art Post-operative Care AfterSurgery for RhinosinusitisPeter H. Hwang, M.D.

Morning

Afternoon

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Program Schedule

2:45 p.m. Expert PanelDiscussion onPostoperative CarePacking, Debridement,Follow-up Interval? Moderator:Christopher Garvey, M.D.Panelists:Stephen F. Bansberg, M.D.Hannes Braun, M.D.Peter H. Hwang, M.D.Antoni Krzeski, M.D., Ph.D.

3:05 p.m. Questions from theAudienceOren Friedman, M.D.

3:10 p.m. Break and Exhibitors

Tumors of theParanasal Sinuses

3:30 p.m. Sinonasal Malignanciesand TreatmentKerry D. Olsen, M.D.

3:55 p.m. Endoscopic Approachto Treatment ofSinonasal and SkullBase TumorsPeter H. Hwang, M.D.

4:20 p.m. Expert PanelDiscussion onTreatment of SinonasalMalignancies withOpen and EndoscopicApproaches Moderator:Eric J. Moore, M.D.Panelists:Hannes Braun, M.D.Peter H. Hwang, M.D.Jan L. Kasperbauer, M.D.Antoni Krzeski, M.D., Ph.D.Kerry D. Olsen, M.D.

5:00 p.m. Questions from theAudience Oren Friedman, M.D.

5:15 p.m. Adjourn

FRIDAY,OCTOBER 12, 20077:00 a.m. Continental Breakfast

and Exhibits atLeighton Auditorium

7:55 a.m. AnnouncementsJohn F. Pallanch, M.D.

Moderator:Eric J. Moore, M.D.

8:00 a.m. Impact, Causes, andDiagnosis of ChronicRhinosinusitisDavid W. Kennedy, M.D.

8:25 a.m. 3-D Anatomy andImaging of the Noseand SinusesJohn F. Pallanch, M.D.

8:45 a.m. Surgical Approaches to the Frontal SinusPeter H. Hwang, M.D.

9:10 a.m. Extended EndoscopicApproaches: EndoscopicMedial Maxillectomy,Endoscopic OrbitalDecompression, OpticNerve DecompressionDavid W. Kennedy, M.D.

9:35 a.m. Advanced SinusSurgery Applications:CT/MRI Fusion,Pituitary Surgery,Lateral Canthotomy,Endoscopic DCRHannes Braun, M.D.

10:00 a.m. Break and Exhibits

10:20 a.m. Refinements in SurgicalTechniqueDavid W. Kennedy, M.D.

10:50 a.m. Questions from theAudienceDavid W. Kennedy, M.D.

Morning

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11:00 a.m. Expert Panel Discussionon Treatment of SinusDisease IncludingFrontal Sinusitis

Medical Therapy orConventional ESS vs.MIST vs. Balloon DilationModerator:John F. Pallanch, M.D.Panelists:Hannes Braun, M.D.Norbert Gorski, M.D.Peter H. Hwang, M.D.David W. Kennedy, M.D.

12:00 p.m. LunchElizabethan Room,Kahler Hotel

Alternative Approachesto the Frontal andEthmoid SinusesStephen F. Bansberg, M.D.and Eugene B. Kern, M.D.

1:00 – Stabile Laboratory 5:00 p.m. Group

Moderated Lab Dissections,Viewing of Prodissections*Additional Fee to participate in lab group.

Lab Faculty:Oren Friedman, M.D. Eric J. Moore, M.D.Stephen F. BanesbergChristopher Garvey, M.D.Norbert Gorski, M.D.Iwona Gromek, M.D., Ph.D.Eugene B. Kern, M.D.Antoni Krzeski, M.D., Ph.D.Anna Tuszynska, M.D.

1:00 – Leighton Auditorium 5:00 p.m. Group

1:00 p.m. Prodissection – FESSand Endoscopic OrbitalDecompression andCSF Leak RepairDavid W. Kennedy, M.D.

2:00 p.m. Prodissection – FESSand Uncapping theEgg, TransphenoidalHypophysectomyHannes Braun, M.D.

Leighton Auditorium Group – continued

3:00 p.m. Prodissection – FESSand Endoscopic DCR,Lateral Canthotomy,Optic NerveDecompressionPeter H. Hwang, M.D.

4:00 p.m. Prodissection –ComputerizedStereotactic Navigation,Extended EndoscopicApproaches in the FrontalRecess, EndoscopicMedial MaxillectomyDavid W. Kennedy, M.D.

5:00 p.m. Questions

5:30 p.m. Adjourn

6:30 p.m. Reception and DinnerMayowood MansionTransportation provided.

SATURDAY,OCTOBER 13, 20077:00 a.m. Continental Breakfast

at Stabile Building

7:50 a.m. WelcomeOren Friedman, M.D.

7:55 a.m. Surgical Anatomy ofthe NoseEric J. Moore, M.D.

8:10 a.m. Facial Proportions andFacial AnalysisStephen F. Bansberg, M.D.

8:25 a.m. Nasal AnalysisPeter A. Hilger, M.D.

8:45 a.m. Lessons Learned After40 Years of RhinoplastySurgery with Pearls ofPreop Patient EvaluationEugene B. Kern, M.D.

9:15 a.m. Expert Panel Discussion– Nasal AnalysisModerator:Oren Friedman, M.D.

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Program Schedule

Panelists:Stephen F. Bansberg, M.D.Peter A. Hilger, M.D.Eugene B. Kern, M.D.Antoni Krzeski, M.D., Ph.D.Eric J. Moore, M.D.Norman Pastorek, M.D.Edmund Pribitkin, M.D.

10:00 a.m. Break

10:20 a.m. Basic Septoplasty andSurgical Closure ofNasal SeptalPerforationsEdmund Pribitkin, M.D.

10:40 a.m. Primary EndonasalRhinoplasty: Step-by-Step Pitfalls and PearlsNorman Pastorek, M.D.

11:20 a.m. Primary ExternalRhinoplasty: Step-by-Step Pitfalls and PearlsEdmund Pribitkin, M.D.

12:00 p.m. Nasal Valve: What Is It,and How Do We Dealwith It?Oren Friedman, M.D.

12:20 p.m. Expert Panel Discussionon Surgical Approachesto the Nose and WhyThey Were ChosenModerator:Oren Friedman, M.D.Panelists:Stephen F. Bansberg, M.D.Eugene B. Kern, M.D.Antoni Krzeski, M.D., Ph.D.Eric J. Moore, M.D.Norman Pastorek, M.D.Edmund Pribitkin, M.D.

1:00 p.m. Lunch withSimultaneousProdissectionPeter A. Hilger, M.D.

2:00 p.m. ProblematicRhinoplastyNorman Pastorek, M.D.

2:30 p.m. Personal Pearls onAvoiding Complicationsof the Nasal DorsumEdmund Pribitkin, M.D.

2:50 p.m. Personal Pearls onAvoiding Complicationsof the Nasal TipNorman Pastorek, M.D.

3:10 p.m. Complications ofSeptorhinoplasty – A ReviewEugene B. Kern, M.D.

3:30 p.m. Cadaver Dissection

Demonstration of Endo-nasal SeptorhinoplastyNorman Pastorek, M.D.

Demonstration of Ex-ternal SeptorhinoplastyEdmund Pribitkin, M.D.

Demonstration of thePush Down TechniqueEugene B. Kern, M.D.

6:30 p.m. Adjourn

SUNDAY,OCTOBER 14, 20077:30 a.m. Continental Breakfast

at Stabile Building

8:00 a.m. Nasal Projection andDeprojection, NasalRotation and DerotationEdmund Pribitkin, M.D.

8:40 a.m. Fractures of the Nose Antoni Krzeski, M.D., Ph.D.

9:00 a.m. Secondary RhinoplastyNorman Pastorek, M.D.

9:40 a.m. Closure of the SmallNasal DefectHarlan Dresner, M.D.

10:10 a.m. Chin Augmentation –Genioplasty and ImplantsKevin L. Rieck, M.D.

10:40 a.m. Break

11:00 a.m. Cadaver Dissection –Paramedian ForeheadFlaps, Nasolabial Flaps,GenioplastyFaculty

1:00 p.m. Adjourn

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19th Biennial

Rhinofest 2007October 11-14, 2007 • Rochester, MN

REGISTRATION FORM 2007R611

Mail form and payment to:Mayo Clinic Phone 800-323-2688 or 507-284-2509Plummer 2-60 FAX 507-284-0532200 First Street SW E-mail cme@mayo.eduRochester, MN 55905 Web site www.mayo.edu/cme

Registration on-line at http://www.mayo.edu/cme/otorhinolaryngology.html

Payment Information

Contact InformationName of Registrant – first name, middle name or initial, and last name Degree – select all that apply

MD PhD DO PA NPOther - specify

Name of Institution Medical Specialty

Preferred Mailing Address – select one Work/Business HomeWork/Business Address – street address Work Phone – include all country and city/area codes

as needed along with complete phone number

City State or Province ZIP or Postal Code Country

Home Address – street address Home Phone – include all country and city/areacodes as needed along with complete phone number

City State or Province ZIP or Postal Code Country

E-mail Address FAX – include all country and city/area codes asneeded along with complete phone number

FAX Location – select one

Work/BusinessHome

If you have special assistance needs or dietary restrictions, describe here:SPECIALNEEDS

Check is enclosed in the amount shown at right – make checks payable to Mayo Clinic Payment Total

Credit Card – select one

Discover MasterCard VisaAccount Number Exp Date – mm/yy

Name of Cardholder – as it appears on the card Signature of Cardholder – required

X

RegistrationRegistration Fee:

Physicians/Scientists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 700 $ ________Residents, Physician Assistants and Nurse Practitioners . . . . . . . $ 300 $ ________Lab Group (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 600 $ ________

Mayo Staff: Mayo Clinic Department Code/PAU (For $600 Lab Fee) ____________________________*ALL Participants (Including Mayo Staff) must pay $600 lab fee if they choose to participate in the lab.

Reception:Yes, I will attend the reception (complimentary for course attendees)Additional Guest Tickets______ Number of tickets requested per adult at $40 each $ ________

Total Payment Enclosed $ ________

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