Registration by Mail Click here to register online. Fill out and print the form below (All components are required). Your Full Name: ________________________________________________________________________________ Residency Program/ Organization: ______________________________________________________________ Home Address: _________________________________________________________________________________ Personal Email: _________________________________________________________________________________ Phone: _________________________________________________________________________________________ Choose from one of our five convenient locations (Circle the course you wish to attend) March Board Review Course March 17, 18, & 19, 2023 (Fri, Sat & Sun) Virtual Classroom – via Live Stream June Board Review Course June 16, 17, & 18, 2023 (Fri, Sat & Sun) Virtual Classroom – via Live Stream July Board Review Course June 14, 15, & 16, 2023 (Fri, Sat & Sun) Virtual Classroom – via Live Stream September Board Review Course Sep 15, 16, & 17, 2023 (Fri, Sat & Sun) Virtual Classroom – via Live Stream Registration Fee and Special Discounts: -Physicians: $795 -Residents/Fellows in Training: $745 -Chief Residents: &495 –Note: Chief residents and Residents in larger group may qualify for additional discounts; Contact us via Email: firstname.lastname@example.org Mail this Registration form with Check payable to “iMedicine Review” to the following address: iMedicine Review 1268 Meadowbrook Rd. Lancaster, PA 17603 Cancellation Policy: If you cancel at least 30 days prior to start of the course we will refund the balance of your tuition fee after deducting a $100 processing fee. There is no refund for cancellations within 30 days of the course. A written notice is required by email for cancellation.