You may register by either using our secure online form below, or by downloading the PDF registration form.
Registrant Information:          
   * = Required Information
Name: *
Degree:
MD PhD PA DO NP RN OTHER
Medical Specialty:
Name of Institution:
Mailing Address – select one Work/Business    Home
Address: *
City: *
US State: *
State/Province (if outside US): *
Postal Code: *
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E-mail: *
  (NOTE: E-mail is the Matrix Meeting’s primary form of correspondence.)
Special Needs:
If you have special assistance needs or dietary restrictions, describe here:
Type of credit that you are interested in receiving:
AMA/Category 1
Nursing
Perfusionist
Nurse Anesthetist
Un-TransFuse Conference – March 26, 2014– 4:00– 5:00 p.m.
Please select the session you plan to attend:
(no CME credit given at sessions marked with *)
The Use of Fibrinogen Concentrates in Cardiac Surgery
Kaiser Permante: How we constructed a formal plan for PBM
Bag Some Platelets
Stop the Bleeding Now!
Teach Your Mentor
Big Data: Little Bits and Big Bytes
New Technologies on the Horizon
How a Community Blood Center Can Support PBM
Got Some Algorthims with that Blood
Is Patient Blood Management Safe?
Registration Fees: *
Physicians and Administrators:
    Standard Registration
Mayo Clinic Collaborative
Partners*, Military
 
March 26, 27 and 28 (no lab):
$550 $450  
March 26, 27 and 28 (includes hands on animal lab):
$800 $450

 

March 26 lab (Group I) 
 
1 day registration
$350 $200  
Select 1 Day Registration Date:
March 26    March 27 March 28
 
Residents, Physician Assistants, Nurse Practitioners, & Nurses
  Standard Registration
Mayo Clinic Collaborative
Partners*, Military
 
March 26, 27 and 28 (no lab):
$475 $450  
March 26, 27 and 28 (includes hands on animal lab):
$700 $450  
March 26 lab (Group I) 
1 day registration:
$325 $200  
Select 1 Day Registration Date:
March 26    March 27 March 28
* Collaborative Partners: Cleveland Clinic, Hartford Hospital, & Loyola University employees and AABB members
PATIENT BLOOD MANAGEMENT CERTIFICATION
$ 50.00    Remove
Reception on Wednesday, March 26th
Two tickets are included in Registration Fee
Yes, I will attend (included in registration fee)
Yes, I will attend and bring one guest (included in registration fee)
# of additional tickets at $65 per adult
No, I will not be able to attend
Reception on Thursday, March 27th
Two tickets are included in Registration Fee
Yes, I will attend (included in registration fee)
Yes, I will attend and bring one guest (included in registration fee)
# of additional tickets at $65 per adult
No, I will not be able to attend
Registration Total:  $
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