ASIPP 2027 Annual Meeting Registration

ASIPP 29th Annual Meeting
April 15-17, 2027

Marriott Orlando World Center, 8701 World Center Drive
Orlando, Florida 32821
ASIPP 2027 Annual Meeting Pre-Registration

Offer only applies to member and non-member physician and staff registrations not subject to other normally discounted pricing.
First Name:
Middle Initial:
Last Name:
Organization:
Address:
City:
State:
Zip:
Phone:
Cell:
Fax:
E-mail:
Please answer all of the following questions:
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Medical Degree (Check all that apply):

Other
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Primary professional practice setting (please check all that apply):

Other
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This section is for Fellows and Residents Only

Skip to Payment Section if not registering as a Fellow or Resident
Fellowship or Residency Program Name
Fellowship or Residency Program Adviser Name
Fellowship or Residency Program Adviser Email
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Course Fees and Payment Information

Physician Member$1,350.00

Discounted from $1,500. Savings good through Oct 1.

Physician Non-Member$1,620.00

Discounted from $1,800. Savings good through Oct 1.

Associate Member (Non-IPM physician, NP, PA)$675.00

Discounted from $750. Savings good through Oct 1.

Associate Non-Member (Non-IPM Physician, NP, PA)$855.00

Discounted from $950. Savings good through Oct 1.

Affiliate Member (RN, Staff)$495.00

Discounted from $550. Savings good through Oct 1.

Affiliate Non-Member (RN, Staff)$585.00

Discounted from $650. Savings good through Oct 1.

Fellow/Resident Discounted Registration$25.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

CANCELLATION POLICY:
Please enter the letters to the right before submitting form:
CANCELLATION POLICY:
The American Society of Interventional Pain Physicians offers the following policy. All cancellations must be submitted in writing, and are not recognized if requested by phone, voicemail or text. Refunds requested to original credit card payment method will incur a 3.5% fee from date of registration through March 4, 2027. If payment method was by check or credit card, cancellation requests between March 5, 2027 –March 24, 2027 will forfeit 50% of their registration fee. No cancellations made after March 24, 2027 will be refunded. Refunds will be processed after the conclusion of the meeting. Organizers reserve the right to cancel this meeting and will assume no financial obligation to the registrants for cancellation. Although registration fees may be refunded, costs incurred by the registrant (i.e., airline fees, hotel fees, or penalties) are the responsibility of registrant. Registration fee includes all sessions, breakfasts, lunches, coffee breaks, and electronic materials for the conference.
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ASIPP 2027 Annual Meeting Pre-Registration