Pancreas Symposium 2018: Current Controversies in Benign Pancreatic Disease

March 22, 2018

Registration Form

Space is limited, early registration is highly encouraged

Required fields (*)

Other, Please List


Mailing Address 2
(e.g. NJ) (e.g. 645-012-0000) (e.g. 645-012-0000)

For confirmation and communication purposes


Other, Please List





Other, Please List


Registration *

* VERIFICATION REQUIRED. If you are a fellow, resident, student, RN, NP or PA, you are required to submit a letter written on official letterhead and signed by a department supervisor verifying status. You must send this within one week of registering. Please send to Jessica Mead at jas2134@cumc.columbia.edu.

NYP Affiliates
MD, DO, PhD — $125
RN, NP, PA — $75

Non-NYP Affiliates
MD, DO, PhD — $175
RN, NP, PA — $125
Fellows, Residents — $50

Registration Fee $

Registration is limited and will be handled on a first-come, first-served basis. Telephone registrations and/or cancellations cannot be accepted. Refund of registration fee, less a $25 administrative charge, will be made if written notice of cancellation is received by March 8, 2018.

Your registration is not final until payment is complete. Please proceed to checkout. Please note we only accept American Express, MasterCard, Visa or Discover.



Columbia University Medical Center
Department of Surgery, CME Office

400 Kelby Street, Floor 9, Fort Lee, NJ 07024
Phone: 212.304.7817
Fax: 917.591.8734
Email: jas2134@cumc.columbia.edu
Refund Policy | Privacy Policy