2008 User Group Conference
June 11-13, 2008 - Fort Lauderdale, Florida






 
  First Name:
  Last Name:
  Organization Name:
  Position:
  E-Mail:
  Business Address:
  Telephone:
  Fax:
  Home Address:
     
  Arrival Date:
  Arrival Time:
  Arrival Airport:
  Flight Number:
  Airline:
  Departure Date:
  Departure Time:
     
  Room Type:
  Number of Guests
  Number of Guests Attending Conference:
  Number of Rooms Required:
  Guest Name:
  Guest Name:
  Guest Name:
  Guest Name:
  Guest Name:
   

FINAL REGISTRATION BY 04/30/2008
NO EXCEPTIONS
  Comments:
     
  Payment Method:
  If paying by check,
please mail check to:		 gMed, Inc.
2125 North Commerce Parkway
Weston, Florida 33326
If paying by credit card, please authorize below:
I, authorize gMed to charge my credit card for the User Group Conference
  Card Type:
  Card Number:
  Expiration Date:
  Verification Number:
  Amount:
  Billing Address:
 


If you prefer to complete and submit the form via fax, please click here to download it
For additional information, please e-mail the User Group 2008 at usergroup2008@gmed.com
or speak with Stephanie Kennedy or Mariela Palmero at 888-577-8801