Pacific Dermatologic Association: Spring Training Registration

Spring Training Registration

Medical Therapeutics in Dermatology
Virtual Meeting
Friday, April 30 – Saturday, May 1, 2021

Registrant Information

First Name:

Last Name:

Nickname for Badge:

Credentials:

Affiliation:

Email:

Telephone:

Country:

Address 1:

Address 2:

City:

State/Province:

Postal Code:

Registration Category

	Through April 9, 2021	After April 9, 2021
PDA Member	$99.00	$125.00
Partner Society Member	$99.00	$125.00
Non-Member	$149.00	$175.00
Advanced Practice Provider	$79.00	$99.00
Resident/Trainee *	Free	Free

* Dermatology residents and fellows from approved ABD residency programs are eligible for FREE registration with a letter from their program director. Please submit the requested letter to info@pacificderm.org after registering online.

Partner Society Affiliation

If you selected “Partner Society Member” above, please indicate the society for which you are a member:

Not a PDA Member?

Join now for only $50!

PDA membership is comprised of physicians in good standing practicing in AK, AZ, CA, CO, HI, ID, KS, MT, ND, NE, NM, NV, OK, OR, SD, TX, UT, WA, WY, Mexico, W. Canada (AB, BC), Australia, China, Japan, New Zealand, Malaysia, the Philippines, North and South Korea, Singapore, Taiwan, and Vietnam.

Fellow – $50.00 $200.00 annually Any physician who resides in an eligible state, province, or country and who has been certified by the American Board of Dermatology, Osteopathic Board of Dermatology, or Royal College of Physicians and Surgeons of Canada.
Associate – $50.00 $200.00 annually Any physician who resides in an eligible state, province, or country, who has had training which qualifies him/her for the examination by the American Board of Dermatology, Osteopathic Board of Dermatology, or Royal College of Physicians and Surgeons of Canada. This includes mainly dermatologists who have finished training but who have not yet taken or passed the American Board of Dermatology certifying examination.
Affiliate – $50.00 $200.00 annually Any physician who resides in an eligible state, province, or country, and who qualifies by virtue of being in one of the following categories: Practicing dermatopathologists trained in pathology who are not eligible to be Fellows or Associates; or Physicians who devote the major portion (>50%) of their time to the practice, public health, research or education in the specialty of dermatology.
Resident – Free A Resident member shall be a physician who is in an accredited dermatology residency training program.
No Selection

Special Needs

Pursuant to the Americans with Disability Act (ADA), do you have any special needs or requirements?

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