VEITHsymposium Individual Registration

Personal Information            * Denotes Required Fields

* First Name:
* Last Name (Surname, Family Name):
Degree:
If you are a physician/surgeon/professor,
please select either MD or DO as your degree
If Other:
National Provider Number (NPI):
* Physician or Non-Physician: Physician Non-Physician
Specialty: If Other:
Affiliation:
* Cleveland Clinic Employee? Yes No
* Address Type: Home Other
* Address:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
* E-Mail:
A valid registrant's email address is required for
confirmation and CME Certification

This e-mail address can be used only once
Alternate E-Mail (Secretary/Assistant):
* Phone: U.S. Telephone: - - or
International Telephone:
Cell Phone: U.S. Cell Phone: - - or
International Cell Phone:
Fax: U.S. Fax: - - or
International Fax:

Full Registration: Tuesday-Saturday
Tuition includes access to all Saturday Only Component Meetings.

Physicians (excluding Fellows/Trainees and Residents) $1399
Physicians Combination Rate - VEITHsymposium and AIMsymposium $1899
US 2nd-Year Fellows in an RRC-approved 2-Year Vascular Fellowship
       OR 5th-Year Vascular Resident in an approved Vascular Surgery Residency as of November 2024,
       And
Canadian Vascular Surgery Fellows in Training
       (Tuition provided through an Educational Grant by W.L. Gore & Associates, Inc.)
       Letter of verification on official hospital stationery must be obtained
       prior to registration and sent by email to registrar@veithsymposium.org.
       The letter must include the start and end date of vascular fellowship.
       Please note that if you are participating in any program as faculty, i.e., Associate Faculty Global Podium
       Presentations Program, a registration fee will be required, and you will not be eligible to register
       complimentary under any educational grant.
Complimentary
Non-US Fellows and Residents (Trainees)
       (Letter of verification from Chief of Service must be obtained prior to registration and sent by email
       to registrar@veithsymposium.org)
$699
Nurse Practitioners $699
Physician Assistant (non-physician, clinician) $699
Residents, Interns and Non-Finishing US Fellows $650
Nurses $650
Technologists $650
Medical Students
       (Letter of verification from Dean must be obtained and sent by email to registrar@veithsymposium.org)
$500
Exhibitors - (Requires Discount Code)
       This fee applies to companies exhibiting at the meeting. Please contact your meeting coordinator to register.
$699
Pavilion Holders (Discount Code Required) $699
Allied Health Care Professionals, Venture Capitalists, and All Others $950
Staff and Miscellaneous (Discount Code Required, NOT FOR EXHIBITOR USE) Complimentary
I will attend the VVS@Vs® (Venous, Venous and More Venous at VEITHsymposium®),
       Wednesday, November 20, 2024, 1:00pm-6:30pm,
       Americas Hall 1 (South), 3rd Floor
       (Registration is limited to 200 fully paid VEITHsymposium registrants.)
       (This is a Non-CME Activity)
Not registering
Registered Clinicians (Non-industry): $25
Registered Industry, Including Exhibitors: $100
$25 or $100

Thursday Only - Multidisciplinary Acute Stroke Management at VEITHsymposium

Thursday, November 21, 2024, 7:45 a.m. - 12:10 p.m.
       Location: Murray Hill Suite West, 2nd Floor
       Tuition includes access to any VEITHsymposium Thursday Sessions.
$349

Friday Only VEITHsymposium Fellows' Career Development

FRIDAY, NOVEMBER 22, 2024
8:00 a.m. to 5:00 p.m.; Americas Hall 1, 3rd Floor
(This is a Non-CME Activity.)

Potential Employer/recruiter
       For Employers/Recruiters not registered at VEITHsymposium
       Tuition includes access to VEITHsymposium Fridaysessions only
$500
If you are a VEITHsymposium registrant you have complimentary access to the Fellows' Career Development:
        I will not be attending the Fellows' Career Development
        I am a Potential Employer/Recruiter who is already registered for VEITHsymposium
        I am a Graduating Fellow/Attending Seeking New Opportunity
 

Saturday Only, November 23, 2024

Saturday Only - VEITHsymposium (Miscellaneous Topics)
       Location: TBD
       Tuition includes access to any Saturday Only Component.
$349
Saturday Only Component - Hemodialysis Access (Physicians only)
       Location: TBD
       Tuition includes access to any Saturday Only Component.
$349
Hemodialysis Access (Non-physician, clinician rate [not available to industry personnel])
       Location: TBD
       Tuition includes access to Hemodialysis Access Only
$150

Payment Method

Discount Code (If applicable)
Credit Card Payment (Pay now) Select this option to pay securely online now
Check Please note that checks must be received by 10/31/2024 and a copy of the registration form should accompany the check.
Please make checks payable to the Cleveland Clinic Educational Foundation and mail to:
The Cleveland Clinic Educational Foundation
Attn: EJCC070
P.O. Box 931653
Cleveland, OH 44193-1082

If sending by courier such as Federal Express, UPS or DHL, please send to:

The Cleveland Clinic Educational Foundation
Attn: Lockbox 931653
4100 West 150th Street
Cleveland, OH 44135
Wire/Bank Transfer Wire transfers will incur an additional $30 to the registration fee. Please note that wires must be received by 10/31/2024 and that the name of the registrant/registrants MUST appear on the wire transfer. Please send e-mail to registrar@VEITHsymposium.org for bank instructions
Complimentary Select this option if your registration is complimentary.
Offline Credit Card Credit Card will be processed manually at a later time.

I have read and accept that there is a $95 cancellation fee if canceled in writing by October 19, 2024. No refunds will be made thereafter.