May 27-30, 1998, at the Wyndham Franklin Plaza Hotel, Philadelphia, PA
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Optional Tours & Events Registration Form |
AMERICAN MEDICAL INFORMATICS ASSOCIATION
Philadelphia, Pennsylvania • May 26 & 30, 1998
| Date | Time | Tour | Price | Qty. | Total |
| Tues • May 26 | 2:00pm-5:00pm | Tour #1: Showcase Philadelphia | $22.00 | _____ | _____ |
| Fri • May 29 | 6:30pm-10:00pm |
Tour #2: Dine Around (costs noted do not include alcohol). Please indicate first, second, and third choices:
___ Bistro Romano, $43.00+ ___ City Tavern, $63.00+ ___ DiLullo Centro, $63.00+ ___ The Garden, $63.00+ ___ Lilies on 12th, $63.00+ ___ MontSerrat, $43.00+ ___ Pasta Blitz, $43.00+ ___ Rembrandt’s, $63.00+ |
_____ | _____ | _____ |
| Sat • May 30 | 11:00pm-5:00pm | Tour #3: Mad Scientist for a Day | $43.00 | _____ | _____ |
| Sat • May 30 | Noon-4:30pm | Tour #4: Philadelphia Medica | $51.00 | _____ | _____ |
| Sat • May 30 | Noon-5:00pm | Tour #5: America’s Most Historic Mile | $51.00 | _____ | _____ |
Total Amount Enclosed .............................................................................................. _________
Please Type or Print
Participant Name(s)___________________________________________________________
Address____________________________________________________________________
City_____________________________ State__________________ Zip+4 ______________
Phone________________________________ Fax__________________________________
Form of Payment: ____ Check/Money Order payable to "SHOWCASE ASSOCIATES, INC."
| _____VISA | _____MasterCard |
Credit Card Number ____________________________________________
Expiration Date ______/______ Signature ___________________________
Full payment by check or money order in US funds and drawn on a US bank must accompany this form. If paying by VISA or MasterCard, you may fax your registration form to (215) 884-2306. For tour questions, please call (215) 884-6205.
_____ Please check here if you have any special needs, disabilities, or dietary concerns and a representative will contact you.
Return this form and payment to:
SHOWCASE ASSOCIATES, INC., Attn: AMIA Tours Program
911 Cypress Avenue, Elkins Park, PA 19027-1992
Registration Deadline:
May 11, 1998
Ticket Information
SHOWCASE ASSOCIATES, INC. is the official Tour Company for AMERICAN MEDICAL INFORMATICS ASSOCIATION. Tickets are sold on a first come, first served basis. Tour registrations must be postmarked by 5/11/98. Prepaid tickets may be picked up at the Tour Desk. Your canceled check or credit card statement will serve as your receipt. Confirmations will be issued if your registration includes a self-addressed, stamped envelope. Tickets will be available on-site on a space available basis only and will include an additional $2.00 charge. SHOWCASE reserves the right to cancel any under subscribed tour and voids any responsibility other than the return of all monies for any tour canceled by SHOWCASE. Guests who cancel a tour in writing to prior to 4/24/98 will receive a refund, minus $3.00 per tour for administrative costs. There will be no refunds or exchanges after 4/24/98. All tours will leave promptly from the Wyndham Franklin Plaza. Please arrive ten minutes prior to departure time. Evening tours will return to the Wyndham Franklin Plaza. Children under twelve must be accompanied by an adult.
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