Extraordinary Ophthalmology - University of Wisconsin Department - ophth wisc 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your personal information in BLOCK letters. Include your name, professional degree, and contact details.
3. Select your registration type by checking the appropriate box for conference fees. Options include $250 for physicians and scientists, or $150 for residents and fellows.
4. Indicate your payment method. You can choose to pay via credit card, check, or request billing to your company.
5. Confirm your attendance at the Friday night dinner and select your meal preference from the provided options.
6. Review all entered information for accuracy before submitting the form through our platform.

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