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hr.line-break { border-color: rgba(0,0,0,0.25); } @media only screen and (min-width: 641px) { .confirm-prompt.remodal { max-width: px; } } .multi-reg .fa.fa-trash-o { color: #000 !important; } .field-gallery:not(.field-gallery--fw), .field-image-single:not(.field-image--fw) { background-color: #fff; } .app-container :not(.swal2-container) .header-type-logo .holds-image img, .form-preview :not(.swal2-container) .header-type-logo .holds-image img { position: relative; left: 0; display: block; } </style> <script type="text/javascript" src="/lib/scrollPaddingTop.js"></script> <style> @media screen and (-ms-high-contrast: active), (-ms-high-contrast: none) { .app-container div td, .app-container div th, .app-container div td h2, .app-container div td h4 {font-family: Arial} } _:-ms-fullscreen, :root .app-container div th, _:-ms-fullscreen, :root .app-container div td, _:-ms-fullscreen, :root .app-container div td h2, _:-ms-fullscreen, :root .app-container div td h4, {font-family: Arial} </style> <script async src="https://www.googletagmanager.com/gtag/js?id="></script> <script> window.dataLayer = window.dataLayer || []; function gtag() { dataLayer.push(arguments); } gtag('js', new Date()); gtag('config', 'G-75ZWMV4Z4P'); if ('' !== 'undefined' && '' && (''.startsWith("G"))) { gtag('config', ''); }; </script> </head> <body class="app-container remodal-bg">   <section id="root"><div class="form-header-wrap"><div class="logo-align-center header-type-logo"><div class="form-nav-header form-header-constrained"></div></div><div data-testid="header-form" class="form-header header-type-logo logo-align-center form-header-constrained"><div data-testid="header-image" class="holds-image"><img src="https://s3.amazonaws.com/uploads.webconnex.com/5102/cme_science_logo.png?1588181453294" alt=""/></div></div></div><div class="campaign-form multi-reg labels-left rounded-inputs undefined"><div style="display:none"><form autoComplete="off" novalidate=""><div style="min-height:400px" class="field-banner banner_xef6d8b125ca6f859b727 field-banner--fw"><div class="banner__background" style="background-image:url('https://cdn.uploads.webconnex.com/5102/cq5dam.thumbnail.744.415%20%282%29.png');background-position:left top"></div><div class="banner__holds-content custom"><div class="banner__content fr-view"><p><span style="color:rgb(255, 255, 255)"><br/></span></p><p><span style="color:rgb(255, 255, 255)"><span style="font-size:42px"><span style="color:rgb(255, 255, 255)"><span style="background-color:rgb(0, 0, 0)"><br/></span></span></span>聽</span></p><p style="text-align:center"><span style="font-size:36px"><span style="color:rgb(0, 0, 0)"><strong><span style="color:rgb(255, 255, 255)"><span style="font-size:48px"><span style="background-color:rgb(31, 73, 125)">East Meets West Imaging Update</span></span></span></strong></span><strong><del><br/></del><span style="font-size:21px"><span style="color:rgb(255, 255, 255)"><span style="background-color:rgb(31, 73, 125)">聽Grand Hyatt Kauai, March 24-27, 2025</span></span></span></strong></span></p><p rel="text-align: center;" style="text-align:center"><span style="color:rgb(12, 12, 12)"><span style="font-size:36px"><span style="color:rgb(255, 255, 255)"><span style="font-size:21px"><span style="color:rgb(0, 0, 0)"><strong><span style="color:rgb(255, 255, 255)"><span style="background-color:rgb(31, 73, 125)">Secure Online Event Registration</span></span></strong></span></span></span></span></span></p><p><span style="font-size:36px"><span style="color:rgb(255, 255, 255)"><span style="font-size:21px"><span style="color:rgb(255, 255, 255)"><br/></span></span></span></span></p></div></div></div><div id="top"></div><section id="registrants" class="registrant-info"><div><div id="registrant-0" class="registrant multi-reg"><div class="director-registrant"><div class="field-textHeading registrant-field field-registrant-0"><div class="label-align form-width"><h2 class="text-center">Participant Contact Information</h2></div></div><div class="field-copyRegInfo registrant-field field-registrant-1"></div><div class="field-name registrant-field field-registrant-2"><div class="name sub-field"><label for="xe05bca2f543e1f902b2c_firstName">Name<span class="required-field" aria-hidden="true">*</span></label><div class="field-area multi-field"><input type="text" id="xe05bca2f543e1f902b2c_firstName" placeholder="First" aria-label="First Name" value="" required="" class="first"/><input type="text" id="xe05bca2f543e1f902b2c_lastName" placeholder="Last" aria-label="Last Name" value="" required="" class="last"/></div></div></div><div class="field-textField registrant-field field-registrant-3"><div class="textField"><label for="xd8eebd0db955a8e786e0">Title:</label><div class="field-area multi-field"><input type="text" id="xd8eebd0db955a8e786e0" placeholder="(MD, DO, MBBS, PA, RT, RN, etc.)" value="" class=""/></div></div></div><div class="field-textField registrant-field field-registrant-4"><div class="textField"><label for="x5a1c3dd6c58ba87ed1ba">Company/Organization</label><div class="field-area multi-field"><input type="text" id="x5a1c3dd6c58ba87ed1ba" value="" class=""/></div></div></div><div class="field-email registrant-field field-registrant-5"><div class="email"><label for="x1baa28f6b514f9037e5d">Email<span class="required-field" aria-hidden="true">*</span></label><div class="field-area"><input type="email" id="x1baa28f6b514f9037e5d" placeholder="Email Address" value="" required="" class="long"/></div></div><div class="email"><label for="x1baa28f6b514f9037e5d_double">Confirm Email<span class="required-field" aria-hidden="true">*</span></label><div class="field-area"><input type="email" id="x1baa28f6b514f9037e5d_double" placeholder="Confirm Email Address" value="" required="" class="long"/></div></div></div><div class="field-email registrant-field field-registrant-6"><div class="email"><label for="x88c26606dbd1253e523b">Secondary Email</label><div class="field-area"><input type="email" id="x88c26606dbd1253e523b" placeholder="Secondary Email Address" value="" class="long"/></div></div></div><div class="field-textField registrant-field field-registrant-7"><div class="textField"><label for="x01ba1923b16408132319">Phone<span class="required-field" aria-hidden="true">*</span></label><div class="field-area multi-field"><input type="text" id="x01ba1923b16408132319" value="" required="" class=""/></div></div></div><div class="field-textField registrant-field field-registrant-8"><div class="textField"><label for="x876235e7f722ef0f7c8e">Mobile Phone</label><div class="field-area multi-field"><input type="text" id="x876235e7f722ef0f7c8e" value="" class=""/></div></div></div><div class="field-textField registrant-field field-registrant-9"><div class="textField"><label for="xe34f55bf9e37688ffb87">Fax</label><div class="field-area multi-field"><input type="text" id="xe34f55bf9e37688ffb87" value="" class=""/></div></div></div><div class="field-multipleChoice registrant-field field-registrant-10"><div class="multipleChoice"><label for="x1d814f470bcfd105523d" class="must-show">Have you previously attended this course?<span class="required-field" aria-hidden="true">*</span></label><div class="field-area"><ul class="list-radio"><li style="clear:left"><label class="must-show"><input type="radio" id="x1d814f470bcfd105523d_0" value="7752bb82-a191-5ec5-af05-5603e0e4c114" name="x1d814f470bcfd105523d" required=""/> Yes</label></li><li style="clear:left"><label class="must-show"><input type="radio" id="x1d814f470bcfd105523d_1" value="6cc6dc2d-58bd-5042-910b-089b86e9fd09" name="x1d814f470bcfd105523d" required=""/> No</label></li></ul></div></div></div><div class="field-textField registrant-field field-registrant-11"><div class="textField"><label for="x642ffed63485cedb01cf">How many times?</label><div class="field-area multi-field"><input type="text" id="x642ffed63485cedb01cf" value="" class=""/></div></div></div><div class="field-textField registrant-field field-registrant-12"><div class="textField"><label for="xf6e03bf482bc5b768a88">Specialty<span class="required-field" aria-hidden="true">*</span></label><div class="field-area multi-field"><input type="text" id="xf6e03bf482bc5b768a88" placeholder="(radiology, neurosurgery, orthopedic surgery, etc." value="" required="" class=""/></div></div></div><div class="field-multipleResponse registrant-field field-registrant-13"><div class="multipleResponse"><label>How did you hear about this course<span class="required-field" aria-hidden="true">*</span></label><div class="field-area"><ul class="list-checkbox"><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_0" value="ae9e28b4-2d0f-55bc-8a72-04180f3f8ab9" required=""/> Email announcement from CME Science</label></li><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_1" value="354ff889-c760-5092-b28d-cab82ce34798" required=""/> Google/Web Search</label></li><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_2" value="bdebf06c-94dc-5f5b-b634-252cd2584a14" required=""/> CME Spot</label></li><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_3" value="525f4559-a114-5025-8c9c-31a5595ae817" required=""/> CMEScience.com</label></li><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_4" value="49831b53-0364-55ec-b94e-98018f31ee06" required=""/> AuntMinnie.com</label></li><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_5" value="05f319f2-27b7-527a-9466-8eaf9722c413" required=""/> RSNA.com</label></li><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_6" value="38952306-93ad-5350-92c3-92bc7d262134" required=""/> eMedEvents</label></li><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_7" value="70fdec3b-616c-56c8-9cc3-07c51a57c484" required=""/> Friend or Colleague</label></li><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_8" value="cb2bf8ba-d5bb-58f1-9f74-5ddd4c281c69" required=""/> The Royal College of Radiologists</label></li><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_9" value="57e989f6-362c-52d4-9fc2-f91718bad716" required=""/> RANZCR</label></li><li><label class="must-show flex"><input type="checkbox" id="x3b8ec1ec8d0382dd763b_10" value="a4d8c3ce-285c-5b04-9dd8-030278f93f43" required=""/> Other</label></li></ul></div></div></div><div class="field-address registrant-field field-registrant-14"><div class="address holds-address"><div class="sub-field"><label for="x5bc1466f2e883138f022_country">Mailing Address<span class="required-field" aria-hidden="true">*</span></label><div class="field-area"><select id="x5bc1466f2e883138f022_country" class="country" aria-label="Country" required=""><option value="" disabled="">----------------------</option></select></div></div><div class="sub-field"><div class="field-area offset"><input type="text" id="x5bc1466f2e883138f022_street1" placeholder="Street Address" aria-label="Street Address" value="" required="" class="street1 form-control long full-width"/></div></div><div class="sub-field"><div class="field-area offset"><input type="text" id="x5bc1466f2e883138f022_street2" placeholder="Street Address 2" aria-label="Street Address 2" value="" class="street2 form-control long full-width"/></div></div><div class="sub-field"><div class="field-area multi-field offset"><input type="text" id="x5bc1466f2e883138f022_city" placeholder="City" aria-label="City" value="" required="" class="city"/><select id="x5bc1466f2e883138f022_region" class="state" aria-label="State" required=""><option selected="" value="">State</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option><option value="AA">AA</option><option value="AE">AE</option><option value="AP">AP</option></select><input type="text" id="x5bc1466f2e883138f022_postalCode" placeholder="ZIP Code" aria-label="ZIP Code" value="" required="" class="zip postalCode"/></div></div></div></div><div class="field-textHeading registrant-field field-registrant-15"><div class="label-align form-width"><h2 class="text-center">Registration Information</h2></div></div><div class="field-regOptions registrant-field field-registrant-16"><div class="multipleChoice"><label for="x3062e18e575d679c2a66" class="must-show">Registration Options<span class="required-field" aria-hidden="true">*</span></label><div class="field-area"><ul class="list-radio"><li style="clear:left"><label class="must-show"><input type="radio" id="x3062e18e575d679c2a66_0" value="9d479e8e-9957-5e7a-a9ca-d2e8d67c1551" name="x3062e18e575d679c2a66" required=""/> Practicing Physician/Industry ($1,495.00)</label></li><li style="clear:left"><label class="must-show"><input type="radio" id="x3062e18e575d679c2a66_1" value="893de9c9-478b-5f89-8395-c81ef4667444" name="x3062e18e575d679c2a66" required=""/> Military/Retired/Scientist/VA ($1,395.00)</label></li><li style="clear:left"><label class="must-show"><input type="radio" id="x3062e18e575d679c2a66_2" value="688d152d-ef1d-5086-8271-ff21cda93e0c" name="x3062e18e575d679c2a66" required=""/> PA/NP/Nurse ($1,395.00)</label></li><li style="clear:left"><label class="must-show"><input type="radio" id="x3062e18e575d679c2a66_3" value="2061f2b6-2f73-550e-b068-014f8745123b" name="x3062e18e575d679c2a66" required=""/> Resident/Fellow ($1,295.00)</label></li><li style="clear:left"><label class="must-show"><input type="radio" id="x3062e18e575d679c2a66_4" value="7e7daebc-ac86-58c8-90f6-f0d22cf5a2df" name="x3062e18e575d679c2a66" required=""/> Technologist ($1,295.00)</label></li></ul></div></div></div><div class="field-fileUpload registrant-field field-registrant-17"><div><label>Proof of Residency or Fellowship</label><div class="field-area"><label class="file-browse"><input type="file" accept=".png,.gif,.jpg,.jpeg,.tif,.tiff,.pdf,.txt,.rtf,.doc,.docx,.odt,.wpd,.pdf,.html,.htm" value="" class=""/><span class="btn btn-primary">Browse</span></label></div></div></div><div class="field-subtotal registrant-field field-registrant-18"><div class="holds-subtotal"><div class="label-like">Total</div><div class="field-area">$0.00</div></div></div><div class="field-lineBreak registrant-field field-registrant-19"><hr class="solid line-break" style="border-width:1px"/></div><div class="field-spacer registrant-field field-registrant-20"><hr class="line-break blank" style="height:1px"/></div><div class="field-lineBreak registrant-field field-registrant-21"><hr class="solid line-break" style="border-width:1px"/></div><div class="field-textHeading registrant-field field-registrant-22"><div class="label-align form-width"><h2 class="text-center">Terms & Agreements</h2></div></div><div class="field-tos registrant-field field-registrant-23"><div><label class="must-show">Terms & Agreements<span class="required-field" aria-hidden="true">*</span></label><div class="field-area"><div class="holds-terms-text">Cancellations received at least 30 days in advance are subject to a $100 cancellation fee or may be exchanged for their full value for a voucher for future use for any live, webinar, or on-demand course that takes place within 13 months of the canceled course.<br/> <br/>Cancellations received less than 30 days before the start of the course are non-refundable but may be exchanged for their full value for a voucher for future use for any live, webinar, or on-demand course that takes place within 13 months of the canceled course.<br/><br/>Acts of God and Event Cancellation: CME Science is not responsible for event cancellation in the event of an act of God (such as, but not limited to, fires, explosions, earthquakes, drought, tidal waves and floods, war, hostilities (whether war be declared or not), invasion, or act of foreign enemies, government restrictions and pandemics.<br/> <br/>Americans with Disabilities Act: Event staff will be glad to assist you with any special needs (ie, physical, dietary, etc). Please contact our staff prior to the live event at 1-855-383-7116, Direct +1(650) 440-4424 or via email at <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="9df4f3fbf2ddfef0f8eefef4f8f3fef8b3fef2f0">[email protected]</a></div><label class="must-show flex"><input type="checkbox" required=""/> I have read and agree to the terms above.</label></div></div></div><div class="field-codeBox registrant-field field-registrant-24"><div class="holds-coupon-code"><label id="x629f1af126532343fc29">Voucher Code</label><div class="field-area multi-field"><input type="text" aria-labelledby="x629f1af126532343fc29" value="" class=""/><button type="button" class="btn btn-primary" disabled="" aria-label="Voucher Code Apply"><i class="fa fa-spinner fa-spin"></i>Apply</button></div></div></div><div class="field-textParagraph registrant-field field-registrant-25"><div class="form-width fr-view label-align"></div></div><div class="field-lineBreak registrant-field field-registrant-26"><hr class="solid line-break" style="border-width:1px"/></div></div><div class="pageBreak submit-row"> <button type="submit" class="next btn btn-primary">Save Registrant</button></div></div></div></section><section class="billing" id="billing-section"></section></form><section class="holds-wc-logos"><div><a data-testid="powered-by-link" href="https://www.regfox.com/?utm_medium=Page+Footer&utm_content=East+Meets+West+Imaging+Update-Kauai-+March+24-27,+2025&utm_referrer=https://cmescience.regfox.com/east-meets-west-imaging-update-kauai-march-24-27-2025" target="_blank"><img data-testid="powered-by-logo" src="https://images.webconnex.com/bacon/regfox-black.svg" alt="RegFox Event Registration Software"/></a></div><div class="poweredby"><a href="https://www.regfox.com/?utm_medium=Page+Footer&utm_content=East+Meets+West+Imaging+Update-Kauai-+March+24-27,+2025&utm_referrer=https://cmescience.regfox.com/east-meets-west-imaging-update-kauai-march-24-27-2025" target="_blank" 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