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<option value="3860b19a-acd6-473e-9386-0111dc3ecf6b">New Zealand</option> <option value="c000e016-d9be-4606-96f6-4ac707707481">Nicaragua</option> <option value="c05231ae-439f-456b-ab45-db5407ee220d">Niger</option> <option value="cab67130-f1cb-47fb-a09e-b972bd0f1c19">Nigeria</option> <option value="896f3500-ab87-4c75-9722-4a81ebe5df01">Norway</option> <option value="20f2b463-a78e-42f3-a3a0-157f23b93f68">Oman</option> <option value="38440ee0-3814-42fc-8bd6-8fcf26b17283">Pakistan</option> <option value="902c4719-6462-4bfc-b471-f0f5f7e7d206">Palau</option> <option value="b1f754c7-46e2-4160-a7ee-27a7838da3a4">Panama</option> <option value="8f9e7cf5-0450-4239-9e11-c90f4d394a06">Papua New Guinea</option> <option value="b92f690a-2dde-4c5b-9147-747a8fb34d2c">Paraguay</option> <option value="26e2e622-c194-4d37-ad93-5eda9879b337">Peru</option> <option value="e0445466-f6c0-4618-b618-7864394ee19e">Philippines</option> <option value="c2ea43da-13dc-46fd-a84f-81c802df297c">Poland</option> <option value="cf924d12-f67b-451a-abc9-48b6dd46c895">Portugal</option> <option value="4150ce14-a608-4ca1-92a7-42a8623b29a9">Qatar</option> <option value="fcad7d6b-137d-4906-97ce-00e29185f23e">Romania</option> <option value="745276f3-868a-4b60-9e03-a0d70541ea9e">Russian Federation</option> <option value="6fff8cf8-70cd-421d-a560-fe81b7d8cf05">Rwanda</option> <option value="5de4cdaa-00d0-4891-910a-d9ea49503742">Saint Kitts and Nevis</option> <option value="1100d654-46c9-4661-8dff-423436dd0199">Saint Lucia</option> <option value="152cbfe4-3cfa-40f8-9f60-484c2a54e601">Saint Vincent and the Grenadines</option> <option value="2e7b153b-e1c8-4eb8-8ba6-64d17b55e978">Samoa</option> <option value="4c6008d7-8029-44ae-8545-947823e5b14c">San Marino</option> <option value="3ba93fb7-ef9f-48e3-8905-83ec2b83cfbe">Sao Tome and Principe</option> <option value="92e0072c-56db-4274-b576-87e53699f310">Saudi Arabia</option> <option value="4f3c07bf-d820-4169-b4d3-c5f198a4f051">Senegal</option> <option value="c373fb19-0a93-479b-a4c0-f90620c69033">Serbia</option> <option value="9d6cc971-b56c-47ec-8953-57a04826999b">Seychelles</option> <option value="cec33c33-9301-4b22-8454-dbbd0f550bbe">Sierra Leone</option> <option value="214d88f2-2858-45b8-9f0b-7374fbcc1dde">Singapore</option> <option value="fcae1be8-d019-47ee-82a4-c36db4b2f79b">Slovakia</option> <option value="42c6bd94-9e4f-4525-bb8b-278d56277013">Slovenia</option> <option value="ceb43bd3-322d-4550-85ce-ade167adf075">Solomon Islands</option> <option value="7c5dde6b-7746-4ffb-9da0-18e0766dc451">Somalia</option> <option value="372f311f-fbf2-4aab-a938-8250467a5d61">South Africa</option> <option value="3c794052-c4fc-49d3-a6a2-9ff1573889d4">South Sudan</option> <option value="aecf22c6-8789-4089-a316-99eaaae80ad8">Spain</option> <option value="ac65e0f0-e29d-4d7e-98a0-1bf68ee25d63">Sri Lanka</option> <option value="9436d71c-838c-4266-b77d-bfbeac88dea7">St Pierre and Miquelon</option> <option value="97ed6751-9719-4d1e-a2e7-66a093dc36a2">Sudan</option> <option value="ff5be038-49d2-41f9-83e2-4386cdb634c6">Suriname</option> <option value="36c7e4ee-18b9-4ec0-be26-cc6eae7bc230">Swaziland</option> <option value="50d6d635-b97b-4b15-bc15-18aaf3de286e">Sweden</option> <option value="1a57193b-bde5-4226-b1d5-d69f991e9324">Switzerland</option> <option value="a3570b86-6fa7-42e3-8ea8-f4ecae557435">Syria</option> <option value="950e9292-fab3-49ab-a2ef-02945ccbd745">Taiwan</option> <option value="b301ca37-df1f-4e32-acd7-0cf61ea35df1">Tajikistan</option> <option value="be3d4f84-c763-4f82-be1b-c3a816b2678a">Tanzania</option> <option value="b7f44be5-8a52-404f-8926-09d85449bb1c">Thailand</option> <option value="92ebfe4e-9516-4abb-b303-60984d6230ba">Togo</option> <option value="792582cb-aa2a-47bf-9962-d6c59067ff57">Tonga</option> <option value="693c96e5-19b3-4a29-9adb-d98fc48eaa07">Trinidad and Tobago</option> <option value="bf262faf-f1d8-4b63-9f11-4b1f8adfa071">Tunisia</option> <option value="13478673-36b9-4234-b1b4-fe10b3245f48">Turkey</option> <option value="a7485cae-5363-43c6-af2c-fccc120fca7e">Turkmenistan</option> <option value="febf0861-5148-49f7-8982-3948582f10f2">Tuvalu</option> <option value="583013d4-3eed-48bb-aeb3-3f71b3e4d44c">Uganda</option> <option value="2764451d-ebeb-4c40-8a38-4377df6cc668">Ukraine</option> <option value="d1d1ea86-1cd4-47fa-b7ba-b31372b48ff0">United Arab Emirates</option> <option value="8b5ce964-a2d5-4293-ae9f-5ce756156b92">United Kingdom</option> <option value="557707c3-76ae-410d-a93e-427d972b8c47">Uruguay</option> <option value="902e3887-0293-46d1-b24a-c1ab147d60a0">Uzbekistan</option> <option value="9ebad991-6bbd-4aa6-804c-aec636092684">Vanuatu</option> <option value="68bd62b8-4f43-4d9f-a11f-15a7068f3cdd">Vatican City</option> <option value="2c8efc37-db2c-4aa2-8d6e-0c080bec4e47">Venezuela</option> <option value="49cfc3d3-2e29-4bfb-b63a-8822e0520e84">Viet Nam</option> <option value="e4bef15e-9eb0-4cad-acef-1410e598b934">Yemen</option> <option value="f0eea0f2-d6dc-4a55-9b18-898d6a30f284">Zambia</option> <option value="2f904b71-cfd9-4497-897f-ef7f63600d6c">Zimbabwe</option> </select> </li><li id="mainlayout_0_content_1_maincontent_0_address_0_liStateProvince" class="state"><label for="ddlStateProvince">State<span class="req"> *</span></label><select name="mainlayout_0$content_1$maincontent_0$address_0$ddlStateProvince" id="mainlayout_0_content_1_maincontent_0_address_0_ddlStateProvince" style="width:242px;"> <option value="Select">Select</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> </select> </li></ul> </div> <ul id="mainlayout_0_content_1_maincontent_0_email_0_ulContainer" class="name"><li class="emailaddress"><label for="txtEmailAddress">E-mail Address<span class="req"> *</span></label><input name="mainlayout_0$content_1$maincontent_0$email_0$txtEmailAddress" type="text" id="mainlayout_0_content_1_maincontent_0_email_0_txtEmailAddress"/>  </li><li class="confirm-emailaddress"><label for="txtConfirmEmailAddress">Confirm E-mail Address<span class="req"> *</span></label><input name="mainlayout_0$content_1$maincontent_0$email_0$txtConfirmEmailAddress" type="text" id="mainlayout_0_content_1_maincontent_0_email_0_txtConfirmEmailAddress"/> </li></ul><div id="mainlayout_0_content_1_maincontent_0_profession_0_upProfession"> <ul id="mainlayout_0_content_1_maincontent_0_profession_0_ulContainer" class="name"><li id="mainlayout_0_content_1_maincontent_0_profession_0_liProfession" class="profession"><label for="ddlProfession">Profession<span class="req"> *</span></label><select name="mainlayout_0$content_1$maincontent_0$profession_0$ddlProfession" id="mainlayout_0_content_1_maincontent_0_profession_0_ddlProfession" style="width:242px;"> <option selected="selected" value="Select">Select</option> <option value="b644cd14-3385-4fa2-83a7-8088830e28eb">Physician</option> <option value="7ce2184a-5619-4053-8cab-4bdf3f2b2442">Resident</option> <option value="871dfb67-5391-418b-a1fd-5a6f1b678989">Medical Student</option> <option value="db79fe02-a244-4296-89a5-e8ff3e4b97df">Nurse Practitioner</option> <option value="1fade58a-b93b-4052-947b-0f0940dddf5d">Nurse</option> <option value="ee01a460-d92c-4ca9-864f-a521893be3e4">Optometrist</option> <option value="b0d289ab-f3e2-46e2-8ff6-b7876c19e9eb">Orthotist</option> <option value="4d1a0f83-e76a-4879-a07c-212fea839486">Orthotist Prosthetist</option> <option value="a371cb23-0477-4df7-afbc-e643afd5cec6">Pedorthist</option> <option value="02642691-044d-413f-bc58-2153bc306b33">Pharmacist</option> <option value="e67d82d0-1a8c-4738-ac18-7041f82ef969">Physician Assistant</option> <option value="026b6647-ab2c-4623-bdc6-db0ce9e36d7e">Prosthetist</option> <option value="0096c0bd-dbcd-420c-bfff-812c32629a74">Healthcare Professional</option> <option value="0252d4ce-36b3-4ecc-9900-a20c2ba4e695">Librarian</option> <option value="29fa0509-1406-426f-ad01-b6c964fc804e">Administrator</option> <option value="0c92e942-797a-4094-aa00-376271347675">Industry</option> <option value="1a15eebc-8c65-48fd-ac52-ab2841246fa2">Consumer Seeking Medical Information</option> </select> </li></ul> </div></div> </div> <div id="mainlayout_0_content_1_maincontent_0_lowercontainer" class="lowercontainer"> </div>  <dl class="diet"> <dt>Special Dietary Request</dt> <dd> Please call Meeting Registration at 1-877-307-5225 ext. 219 or ext. 476 with yourrequests. </dd> </dl>   <dl class="cme-activity-request"> <dt> <label for="mainlayout_0_content_1_CmeActivityRequest" id="mainlayout_0_content_1_Label12">CME Activity Request </label></dt> <dd> <span class="cme-input"><input id="mainlayout_0_content_1_CmeActivityRequest" type="checkbox" name="mainlayout_0$content_1$CmeActivityRequest"/></span> <label for="CmeActivityRequest" class="activity-req-text"> Yes, I would like the opportunity to earn CME credits through future activities sponsored by Vindico Medical Education. </label> </dd> </dl>  </div> </fieldset>   <fieldset class="fld2"> <h4> How did you hear about the meeting? <span>(select all that apply)</span></h4> <div id="mainlayout_0_content_1_panHowHear"> <ul class="col1"> <li> <span type="checkbox" name="cbPastAttend"><input id="mainlayout_0_content_1_cbPastAttend" type="checkbox" name="mainlayout_0$content_1$cbPastAttend"/></span> <label for="cbPastAttend"> I'm a past attendee</label> </li> <li> <span type="checkbox" name="cbWordofMouth"><input id="mainlayout_0_content_1_cbWordofMouth" type="checkbox" name="mainlayout_0$content_1$cbWordofMouth"/></span> <label for="cbWordofMouth"> Word of Mouth/Colleague</label></li> <li> <span type="checkbox" name="cbBrochure"><input id="mainlayout_0_content_1_cbBrochure" type="checkbox" name="mainlayout_0$content_1$cbBrochure"/></span> <label for="cbBrochure"> Brochure</label></li> <li> <span type="checkbox" name="cbLetter"><input id="mainlayout_0_content_1_cbLetter" type="checkbox" name="mainlayout_0$content_1$cbLetter"/></span> <label for="cbLetter"> Letter</label></li> </ul> <ul class="col2"> <li> <span type="checkbox" name="cbPostcard"><input id="mainlayout_0_content_1_cbPostcard" type="checkbox" name="mainlayout_0$content_1$cbPostcard"/></span> <label for="cbPostcard"> Postcard</label></li> <li> <span type="checkbox" name="cbEmail"><input id="mainlayout_0_content_1_cbEmail" type="checkbox" name="mainlayout_0$content_1$cbEmail"/></span> <label for="cbEmail"> Email</label></li> <li> <span type="checkbox" name="cbPrintAd"><input id="mainlayout_0_content_1_cbPrintAd" type="checkbox" name="mainlayout_0$content_1$cbPrintAd"/></span> <label for="cbPrintAd"> Print Advertisement</label></li> <li> <span type="checkbox" name="cbHealio"><input id="mainlayout_0_content_1_cbHealio" type="checkbox" name="mainlayout_0$content_1$cbHealio"/></span> <label for="cbHealio"> Healio</label></li> </ul> <ul class="col3"> <li> <span type="checkbox" name="cbExhibitBooth"><input id="mainlayout_0_content_1_cbExhibitBooth" type="checkbox" name="mainlayout_0$content_1$cbExhibitBooth"/></span> <label for="cbExhibitBooth"> Exhibit Booth</label></li> <li> <span type="checkbox" name="cbPhone"><input id="mainlayout_0_content_1_cbPhone" type="checkbox" name="mainlayout_0$content_1$cbPhone"/></span> <label for="cbPhone"> Phone</label></li> <li> <span type="checkbox" name="cbInternet"><input id="mainlayout_0_content_1_cbInternet" type="checkbox" name="mainlayout_0$content_1$cbInternet"/></span> <label for="cbInternet"> Internet Search</label></li> <li> <label for="txtOther"> Other</label> <input name="mainlayout_0$content_1$txtOther" type="text" id="mainlayout_0_content_1_txtOther"/> </li> </ul> </div> </fieldset>   <fieldset class="fld3"> <div id="mainlayout_0_content_1_UpdatePanel1">  <h4> Registration Fee</h4>  <dl> <dd> <p> <label for="mainlayout_0_content_1_ddlAttendType" id="mainlayout_0_content_1_lblAttendType">Select your registration category: <span class="req"> *</span></label>   <br/> <span class="othertext">Categories not listed may register by phone at 1-877-307-5225 ext. 219 or 476.</span> </p> <p> <select name="mainlayout_0$content_1$ddlAttendType" id="mainlayout_0_content_1_ddlAttendType"> <option selected="selected" value="Select">Select</option> <option value="Nurse/Allied Health Professional">Nurse/Allied Health Professional</option> <option value="Physician">Physician</option> <option value="Resident/Student">Resident/Student</option> </select> </p> </dd> </dl>  </div>  <p class="priority-code"> Please enter the priority code found on the lower right-hand corner of your registration form or other marketing materials. <br/> Priority Code <input name="mainlayout_0$content_1$PriorityCode" type="text" id="mainlayout_0_content_1_PriorityCode"/> </p>  <div class="submit"> <input type="submit" name="mainlayout_0$content_1$Button1" value="Proceed to payment page" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("mainlayout_0$content_1$Button1", "", true, "", "", false, false))" id="mainlayout_0_content_1_Button1"/> </div> <p> <br/> </p> </fieldset> <fieldset class="fld5"> <p>For more information, contact Meeting Registration by email: <a class="ApplyClass" href="https://web.archive.org/web/20130526190209/mailto:/">meetings@registrationAMS.com</a></p> <p>Federal ID # 30-0747466</p> <p>Cancellations: Requests for refunds must be submitted in writing by November 12, 2013. There will be a $200 service charge retained for all refund requests. Requests received after this date will be ineligible for refunds.</p> <p>ADA Compliance: In compliance with the Americans with Disabilities Act of 1990, we will make all reasonable efforts to accommodate persons with disabilities. Please call with your requests.</p> </fieldset> <fieldset class="fld6"> <h4>Have Questions? Call Us</h4> <ul> <li><strong>Toll-free:</strong> 1-877-307-5225, ext. 219 or 476 or</li> <li><strong>Local or Outside the US:</strong> +(1) 856-848-1712 ext. 219 or 476</li> <li><strong>Office Hours:</strong> Monday - Friday, 9:00 AM - 5:00 PM, ET</li> </ul> </fieldset> </div> </div>    </div>  </div> </form> <script type="text/javascript"> $j(document).ready(function () { setupRotator(); }); function setupRotator() { if ($j('.textItem').length > 1) { $j('.textItem:first').addClass('current').fadeIn(1000); setInterval('textRotate()', 7000); } else { $j('.textItem').css("display", "inline"); } } function textRotate() { var current = $j('#dyk > .current'); if (current.next().length == 0) { current.removeClass('current').fadeOut(1000); $j('.textItem:first').addClass('current').fadeIn(1000); } else { current.removeClass('current').fadeOut(1000); current.next().addClass('current').fadeIn(1000); } } </script> <script type="text/javascript"> var _gaq = _gaq || []; _gaq.push(['_setAccount', 'UA-671605-73']); _gaq.push(['_trackPageview']); (function () { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 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