24th NORTHEAST REHAB SYMPOSIUM

24th NORTHEAST REHAB SYMPOSIUM

 Updates for Clinical and Legal Practice 

The Hotel & Conference Center
at Mohegan Sun
1280 Highway 315, Wilkes-Barre 

Tuesday, October 12, 2021
8:00AM – 4:30PM 

$55.00 

Registration Deadline: Monday, Oct. 4, 2021 (guaranteed when payment received) 

ATTENDEE REGISTRATIONEXHIBITOR REGISTRATION

Attendee Registration Form

Fill out form below or print and mail Attendee Registration Form PDF

Attendee Name
Address
Credits:
Applying for 5.5 Credits (please check which credits you require):
OPTIONAL CREDIT:
Applying for 1.0 Credits-ethics (please check if you plan on attending from 3:30 to 4:30)

REQUEST FOR SPECIAL ACCOMMODATIONS:

PAYMENT:

*Refunds will be issued up to 2 weeks before the symposium (less a $10.00 cancellation fee per individual).
Attendee
Price:
Payment Method
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
 

Exhibitor Registration Form

Fill out form below or print and mail Exhibitor Registration Form PDF

Attendee Name
Address
Representative 1
Name
Representative 2
Name

Both Contact and Representatives will Receive Confirmation Email

*Refunds will be issued up to 2 weeks before the symposium (less a $10.00 cancellation fee per individual). Deadline for vendor registration and payment: Monday, SEPTEMBER 27, 2021 This reservation form is executed by the undersigned as an authorized representative of the above named company.

Exhibitor Registration $375 due 9/27/2021

I hereby request a reservation for an exhibit booth for the 22nd Annual Northeastern Rehabilitation Symposium to be held at The Hotel & Conference Center at Mohegan Sun in Wilkes-Barre, PA on Tuesday, October 12, 2021. I understand that booth locations will be reserved on a first come-first serve basis and that no booth will be reserved without remitting a non-refundable fee. If you have any questions, please contact Bill Dempsey at wdempsey@nerehab.com or (570) 344-3788 ext 320.
Electrical Requirements:
(Additional $25.00):