Your Full Name

Residency Program/ Organization

Address

E-mail

Phone

                                                                                                                           
Fill out this form, print and mail with a check for $795 (Or discounted rate, see below) payable to “iMedicine Review” to:

iMedicine Review
1268 Meadowbrook Road
Lancaster, PA 17603

Registration Fee and Special Discounts:

Tuition Fee for courses:
-Physicians: $795.00
-Residents and Fellows in training: $695.00
-Chief Residents & Resident Representatives: $495.00

-For more information, Email: info@imedicinereview.com

Location and Dates for 2019 Live Crash Courses:

1. NJ/NY March Board Review
March 22, 23, and 24, 2019 (Fri, Sat and Sun)
Courtyard Marriott Newark Downtown
Conference Room
858 Broad Street, Newark, NJ 07102

2. Wisconsin Board Review
April 12, 13, and 14, 2019 (Fri, Sat and Sun)
Aurora Sinai Medical Center
Steigleder Auditorium
960 N 12th St, Milwaukee, WI 53233

3. Chicago Board Review
May 24, 25, and 26, 2019 (Fri, Sat & Sun)
Courtyard Marriott Chicago O’Hare
Conference Room
2950 S River Rd, Des Plaines, IL 60018

4. Connecticut Board Review
June 7, 8, and 9, 2019 (Fri, Sat and Sun)
University of Connecticut
Massey Auditorium
263 Farmington Avenue, Farmington, CT 06030

5. NJ/NY July Board Review
July 12, 13, and 14, 2019 (Fri, Sat and Sun)
Marriott Teaneck at Glenpointe
Montclair/Palisade Room
100 Frank W. Burr Blvd, Teaneck, NJ 07666

Email confirmation will be sent to registrants upon receipt of the application form and payment.

Cancellation Policy For Attendees:
If you cancel up to 14 days prior to starting the course we will refund the balance of your tuition fee after deducting a $100 processing fee. No refund will be given for cancellations within 14 days of the course start date. A written notice is required by email for cancellations.

Course Cancellation Policy:
If we cannot conduct a course due to unforeseen circumstances, iMedicine Review will refund your full tuition fee. iMedicine Review will not be responsible for any other related costs or expenses, such as (but not limited to) those for traveling, hotel stays, or meals.