Eastern Orthopaedic Association
47TH ANNUAL MEETING
October 19-22, 2016 ‰ The Ritz-Carlton ‰ New Orleans, LA
SPECIAL GUEST
New Jersey Orthopaedic Society
23.5 CME
Credits Available
SATURDAY NIGHT ENTERTAINER
Oz Pearlman
Mentalist & Magician
Preliminary Program
PRESIDENTIAL GUEST SPEAKER
Thomas P. Sculco, MD
HOWARD STEEL LECTURER
James Carville
Surgeon-in-Chief Emeritus
Hospital for Special Surgery
New York, NY
Political Consultant
New Orleans, LA
SPECIAL GUEST SPEAKER
Congressman Thomas E. Price, MD
Atlanta, GA
Accreditation Information
2016 PROGRAM COMMITTEE
The Eastern Orthopaedic Association gratefully
acknowledges these orthopaedic surgeons for their
contribution to the development of the scientific
program:
Marc J. Levine, MD, Chair
Michael P. Bolognesi, MD
James T. Guille, MD
Ronald A. Lehman, MD
Kevin D. Plancher, MD
Adam J. Rana, MD
Richard M. Wilk, MD
MISSION
The Eastern Orthopaedic Association (EOA) was
established in 1970 under the leadership of Howard
H. Steel, MD and 12 prominent orthopaedic
surgeons. Its purpose is to promote, encourage,
foster and advance the highest quality and most cost
effective practice of orthopaedic surgery and matters
related thereto by providing an educational format for
the free discussion and teaching of Orthopaedic
methods and principles among Orthopaedic
Surgeons, both member and non-member; and to
establish a forum for practicing Orthopaedic
Surgeons to update their knowledge and awareness
of new techniques, treatment methods, and devices
available for patient care, teaching, and research by
using the most appropriate educational methods.
TARGET AUDIENCE
The 47th Annual Meeting of the Eastern Orthopaedic
Association has been developed primarily for
orthopaedic and trauma surgeons.
CME ACCREDITATION
This activity has been planned and implemented in
accordance with the accreditation requirements and
policies of the Accreditation Council for Continuing
Medical Education (ACCME) through the joint
providership of the American Academy of
Orthopaedic Surgeons and the Eastern Orthopaedic
Association. The American Academy of Orthopaedic
Surgeons is accredited by the ACCME to provide
continuing medical education for physicians.
The American Academy of Orthopaedic Surgeons
designates this live activity for a maximum of 23.5
AMA PRA Category 1 Credits™. Physicians should
claim only the credit commensurate with the extent
of their participation in the activity.
*14 CME Credits for Scientific Program
*5 CME Credits for Scientific E-Poster Sessions
*4.5 CME Credits for Multimedia Education Sessions
CEC CREDIT
Physician’s Assistants can receive up to 23.5 credit
hours toward Continuing Education Credits. AAPA
accepts American Medical Association Category I
CME credit for the Physician’s Recognition Award
from organizations accredited by the ACCME.
PURPOSE
1. To provide the participants with an objective,
unbiased educational experience that will enable
them to remain current in both the knowledge and
practical elements of contemporary orthopaedic
surgery.
2. To provide the participants with a detailed, in
depth education of selected topics relevant to the
practice of orthopedic surgery
continued on p. 3
President's Message
Geoffrey H. Westrich, MD
Dear Colleagues,
Our 47th Annual Meeting of the Eastern Orthopedic
Association will take place in New Orleans at The Ritz-Carton
Hotel from Thursday, October 20th to Saturday, October
22nd, 2016. The Ritz-Carlton New Orleans truly sets the bar
for luxury hotels and is located in the French Quarter near the
famous Bourbon Street. This hotel features a Southern
ambience, luxurious, suites, a stunning spa, and well-designed
conference space for our meeting. This is the first time that
the Eastern Orthopedic Association will host its Annual
Meeting in the city of New Orleans which is well known for the enticing scent of hearty
gumbo or jambalaya while listening to the energizing beat of a jazz band. The RitzCarlton is only a 30-minute drive from New Orleans International Airport (MSY).
Our scientific program, carefully planned by Dr. Marc J. Levine, Program Chair and the
Program Committee, is already well underway with excellent, state-of-the-art symposia
and cutting edge podium and poster presentations. Because our meeting is in New
Orleans, we have asked our fellow colleagues from LSU, Tulane, and Ochsner programs
to join us. In addition, the New Jersey Orthopaedic Society will also be attending. Dr.
Thomas Sculco will be my Presidential Guest Speaker and was the former Surgeon-inChief of Hospital for Special Surgery and is the current President of the Knee Society.
I know his lecture will be insightful and enlightening. Mr. James Carville, a well know
political commentator and media personality, will be the Howard Steel Lecturer. Since
our meeting is just weeks before the presidential election, I know his talk and
question/answer session will be very entertaining and timely. In addition, we will be
running a Resident Review Course led by Dr. Frank J. Frassica, an expert in this area,
on Thursday afternoon that will be a great prep for the OITE exam that follows a few
weeks later.
Our Welcome Reception on Thursday evening, October 20th, will be held at Mardi Gras
World which is a main tourist attraction located on the Mississippi River. We will have
an opportunity to tour the working warehouse where floats are made for the Mardi Gras
parades while listening to New Orleans jazz and eating various food native to New
Orleans such as gumbo, shrimp etouffee, and jambalaya! It is an evening you surely
don’t want to miss.
My wife, Ellen, and the Spouse Committee, have been working tirelessly to plan a great
social program, so please plan on bringing your family. Ellen and I hope you will join
us in New Orleans for a truly memorable meeting. There will clearly be something for
everyone!
Please save the date in your calendars.
Sincerely,
Geoffrey Westrich
Geoffrey H. Westrich, MD
President of Eastern Orthopaedic Association
Presidential Guest Speaker
Thomas P. Sculco, MD
EOA is pleased to announce that Dr. Thomas P. Sculco, MD is the 2016
Presidential Guest Speaker. Dr. Sculco is currently Surgeon-in-Chief
Emeritus of Hospital for Special Surgery and Professor of Orthopaedic
Surgery at Weill Cornell Medical College.
Dr. Sculco’s research interests are currently centered on improvements in surgical technique and preventing failure of hip and knee implants. In addition to receiving many
prestigious awards for his work, including the Otto Aufranc and Charnley Awards from the
Hip Society and the Arthritis Foundation’s Lifetime Achievement Award. Dr. Sculco’s
body of published works includes over 350 papers, 75 chapters, three books on orthopedic
surgery and the surgical treatment of arthritis and he has presented over 750 papers.
Dr. Sculco founded the International Society of Orthopaedic Centers and served as Executive Director for 10 years. He also founded the VA Orthopaedic Society and was a founding
member of the Knee Society and is President this year. Dr. Sculco served on the Board of
Directors of the American Academy of Orthopedic Surgeons, and the Arthritis Foundation.
He presently serves on the Board of Directors of Carnegie Hall. Dr. Sculco was the
honoree at the Columbus Day Parade in 2011. He is a Board Member of OREF and the
Robert Gladden Society.
Howard Steel Lecturer
James Carville
EOA is pleased to welcome James Carville as the 2016 Howard Steel
Lecturer. James “The Ragin’ Cajun” Carville is America's best-known
political consultant. His long list of electoral successes evidences a
knack for steering overlooked campaigns to unexpected landslide
victories and for re-making political underdogs into upset winners.
In recent years, Carville has not been a paid political consultant for any domestic politicians
or candidates for office, instead focusing on campaigns in more than 20 countries around
the globe, including leading Ehud Barak to victory in his campaign to become the Prime
Minister of Israel in 1999.
Carville is also a best-selling author, actor, producer, talk-show host, speaker and restaurateur. He serves as a Professor of Practice at Tulane University in New Orleans, where he
lives with his wife Mary Matalin and their two daughters.
Special Guest Speaker
Congressman Thomas E. Price, MD
Congressman Tom Price was first elected to represent Georgia’s 6th
district in November 2004. Prior to going to Washington, Price served
four terms in the Georgia State Senate – two as Minority Whip.
For nearly twenty years, Rep. Price worked in private practice as an orthopaedic surgeon.
Before coming to Washington he returned to Emory University School of Medicine as an
Assistant Professor and Medical Director of the Orthopedic Clinic at Grady Memorial
Hospital in Atlanta, teaching resident doctors in training. Congressman Price and his wife,
Elizabeth, reside in Roswell, GA. They have one son.
Accreditation Information continued
3. Allow participants to assess potential deficiencies
in their knowledge base as it pertains to the practice
of orthopedic surgery
4. Present ample opportunities for participants to
exchange ideas with the presenters, the faculty and
other enrollees through paper presentations, guest
lectureships, symposia, multimedia educational
sessions and poster exhibits.
OBJECTIVES
Educational objectives will be met through a
combination of paper presentations, lectures and
workshops in plenary, concurrent and specialty
sessions with ample time afforded for open
discussion.
The following objectives will be
addressed during the Scientific Program, such that at
the conclusion of this course the attendees will be
expected to:
1. Improve their diagnostic, treatment and technical
skills in the management of orthopaedic afflictions by
assimilation of scientific advances.
2. Discuss basic science paradigms as they relate to
treatment advances.
3. Understand some of the basic principals in practice
management.
4. Critically assess emerging trends in orthopedic
medicine and evaluate their evidence basis.
DISCLAIMER
The products, procedures and opinions presented at
this meeting reflect the viewpoint or approach of the
presenter only, and are not to be attributed to the
Eastern Orthopaedic Association. The Eastern
Orthopaedic Association presents such material for
informational purposes only, and does not endorse
any such product or the content of any such
presentation.
FORMAT
The educational sessions will be held Thursday,
Friday and Saturday, October 20-22, from
approximately 7:00 am until 2:00 pm.
SCIENTIFIC E-POSTER SESSIONS
Scientific E-Posters are an important feature of the
EOA Annual Meeting. E-Posters will be on display
each day of the Scientific Program and E-Poster
presenters will be available to answer questions
before and after the Scientific Program Sessions.
Please note on the Scientific Program Schedule the
designated times the E-Poster presenters will be
available for discussion.
MULTIMEDIA EDUCATION SESSIONS
The EOA will provide multimedia education sessions
daily after the Scientific Program on Thursday, Friday
and Saturday, October 20-22. A comprehensive
selection of AAOS DVDs will be available for your
individual education. These DVDs will highlight
surgical procedures and current concepts in
Orthopaedics. Registered attendees should find
these DVDs informative and helpful in their practice.
PHYSICIAN REGISTRATION FEE
Registration covers the Scientific Program, Syllabus,
Multimedia Educational Sessions, Poster Sessions,
Daily Continental Breakfasts and Coffee Breaks,
General Meeting Expenses, Welcome Reception,
Exhibitor Reception and the Jazz Band Reception
and Founders’ Dinner Dance.
Preliminary Scientific Program
Presenters and times subject to change
Thursday, October 20
(Presenters will be available to answer questions.)
Moderator: James T. Guille, MD
What I Have Learned Over the Past 20 Years:
Orthopedic Surgery, Family, and Fishing!
Abstracts & Discussion
Moderators: John D. Kelly IV, MD & Darren L.
Johnson, MD
Biologics in Rotator Cuff Repair
Does Surgical Technique Affect Outcomes
Following Rotator Cuff Repair?
Moderators: Geoffrey H. Westrich, MD & Thomas P.
Sculco, MD
THR: Abductor Deficiency: Options and
Treatment
Indications for RC Repair in 2016 – Do We Need to
Fix Them All?
Treatment of Massive Rotator Cuff Tears
THR: Metal on Metal, Modular Necks, and
Tunnionosis
TKR: Extensor Mechanism Deficiency: Options
Abstracts & Discussion
and Treatment
TKR: Stiffness Following Primary TKA: Should
We Reoperate?
(Hosted by New Jersey Orthopaedic Society)
Moderator: Bruce Monaghan, MD
Abstracts & Discussion
Preliminary Scientific Program
Presenters and times subject to change
(Presenters will be available to answer questions.)
James Carville Looks at Politics and the 2016 Race
for the White House
Friday, October 21
(Presenters will be available to answer questions.)
Abstracts & Discussion
Abstracts & Discussion
Moderators: S. Robert Rozbruch, MD & Richard D.
Lackman, MD
Limb Deformity in Kids
Trauma and Nonunions
Foot and Ankle Deformity
Moderator: Danyal H. Nawabi, MD
Hip Arthroscopy for FAI – The Evolution of My
Surgical Technique Over the Past 10 Years
PAO - Who Needs It, Surgical Alternatives,
Concomitant Procedures and My Top Tips for
Performing It
Imaging in Hip Preservation - What is The Gold
Standard in 2016 and Where Are We Headed?
Snap, Crack, & Pop: The Diagnosis & Treatment
of Snapping Hips
Adult Limb Deformity
Pearls and Pitfalls When Treating Athletic
Pubalgia in the Setting of Concomitant FAI
Moderator: Geoffrey H. Westrich, MD
Preliminary Scientific Program
Presenters and times subject to change
Abstracts & Discussion
Moderator: Geoffrey H. Westrich, MD
(Presenters will be available to answer questions.)
Saturday, October 22
New Technology: Can We Afford It?
Abstracts & Discussion
(Presenters will be available to answer questions.)
Moderator: Claudius D. Jarrett, MD
Dealing with The Painful Shoulder Arthroplasty
Abstracts & Discussion
Reverse Shoulder Arthroplasty for Proximal
Humerus Fracture
Moderator: Mark J. Lemos, MD
My ACL Approach for the Elite Athlete
What is the Ideal Implant Design for Anatomic
TSA 2016?
Meniscal Root Tear Repairs
Management of Glenoid Bone Loss in Shoulder
Arthroplasty
PLC Injury in the Athlete: Fix, Augment, or Run
Away
Articular Cartilage Defects Management
Abstracts & Discussion
New Orleans
Situated at the confluence of the mighty Mississippi River and the
picturesque Gulf of Mexico, New Orleans, Louisiana is often referred to as
the most unique city in America. Nicknamed the “Big Easy,” it’s known for
its round-the-clock nightlife, vibrant live-music scene and spicy, singular
cuisine reflecting its history as a melting pot. New Orleans switched hands
from the French to the Spanish and back to the French again before becoming
part of the U.S. in the 1803 Louisiana Purchase. Remnants of these European
influences are ever-present, from the architecture to the culinary scene.
The Ritz-Carlton
Immerse yourself in New Orleans history at this luxury hotel on the edge of the French Quarter. Set within the
historic 1908 Beaux Arts Maison Blanche building, The Ritz-Carlton, New Orleans retains the grace and charm
of an antebellum mansion. Guests of this French Quarter hotel have the advantage of staying near popular area
attractions, including Bourbon Street, but can also experience local traditions in the Courtyard, which hosts
special events. The Ritz-Carlton offers a peaceful retreat with features including; luxury blending elegant décor
with modern amenities, Live music in the lounge, farm-to-table dining in the restaurant and the largest spa in
the city.
Hotel Reservation Information
The Conference is located at The Ritz Carlton. The hotel has set aside rooms at a special conference price for
EOA attendees, and will hold these rooms until
Deluxe Accomodations
$269 per night
Club Level Guestrooms can be extended to any Eastern Orthopaedic Association registered meeting attendee
at a preferred group guestroom rate premium of $200 per room, per night, above the group rates, and based
upon Club Room availability. Call 504-670-2875.
discounted rate.
and indicate you are attending the EOA Annual Meeting to receive the
A hotel confirmation will be sent to you upon receipt of your reservation request.
All reservations require a credit card to guarantee the reservation; a deposit equal to one night’s room and
tax will be charged to your credit card..
Reservations must be cancelled 72 hours prior to arrival to avoid a penalty.
Airport/Ground Transportation Information
The Ritz Carlton is a 30-minute drive from New Orleans International Airport (MSY). Taxi service is
approximately $36 one-way. Limo service is available by calling Limousine Livery at 504-561-8777. If you
would like to rent a car, Hertz discounts are available by calling 800-654-2240 and referencing Convention
Number 04B00008 or online at www.hertz.com: under the Reservation form, click the box next to “Enter a
Discount or Promo Code” and enter
in the Convention Number field. The Ritz-Carlton offers valet
parking only for $50 per day.
Tentative Schedule of Events
Wednesday, October 19
Events, dates and times subject to change.
5:45 pm – 6:30 pm
12:00 pm – 5:00 pm
12:00 pm – 5:00 pm
1:00 pm – 5:00 pm
2:00 pm – 3:00 pm
6:45 pm – 9:30 pm
Thursday, October 20
EOA is bringing you the spirit of
Mardi Gras Carnival by hosting
the Welcome Reception at Mardi
Gras World, New Orleans’ top
tourist attraction. Since 1947,
Blaine Kern Studios has built the
magnificent floats that define the
magic of Mardi Gras. You can
experience that magic amongst
the awe-inspiring parade floats.
Enjoy Cajun/Creole delicacies as
you wander among the
spectacular floats!
6:00 am – 1:55 pm
6:45 am – 1:55 pm
8:00 am
8:05 am – 8:20 am
9:00 am – 10:30 am
All EOA new members and
Residents are invited to attend
this reception. The EOA Board
and other leadership would like to
take this opportunity to welcome
you to the EOA.
Join your friends and meet new
spouses while enjoying a
continental breakfast; then learn
about the French Quarter,
followed by a 90-minute walking
tour of the city. Leave hotel at
10:30 am.
Business Casual
Friday, October 21
6:30 am – 1:55 pm
6:45 am – 1:55 pm
11:55 am – 1:10 pm
1:30 pm – 4:45 pm
8:00 am
Get up close and personal with
alligators and the exotic wildlife
ranging from endangered birds
to flora and fauna not found
anywhere else in the country. It’s
fast! It’s fun!
9:30 am
All levels welcome! Food and
beverage on own.
10:30 am
Food and beverage on own.
Tentative Schedule of Events
Events, dates and times subject to change.
12:30 pm – 1:30 pm
12:00 pm – 6:00 pm
1:20 pm – 4:50 pm
Square before returning to the
French Quarter.
1:00 pm Tee Time
2:30 pm – 4:30 pm
(Buses depart at 12:00 pm)
Audubon Golf Course boasts the
metropolitan
area's
most
immaculate and well-manicured
greens with a competitive,
executive-18-hole course. The
course is a par 62, 4,220-yard
layout set among one hundred
year old oak trees. The
tournament will be a 1pm
shotgun start with scramble
format. Come rain or shine.
Experience the French Quarter’s
most famous landmarks while
you hear about the people who
gave the city its rich character
and sip on the drinks that carry
their stories. Notable stops along
the way include the Pharmacy
Museum, Jackson Square, St.
Louis Cathedral, and the Port of
New Orleans. This tour does not
stop at any bars. However, the
price includes several cocktails
and punches, so you will never
have to pull out your wallet to
buy a drink!
Travel through sections of 5:30 pm – 7:30 pm
America’s most fascinating city.
Before you go to dinner, start
Starting from the French Quarter,
your evening off with drinks and
journey past the Faubourg
hors d’oeuvres with EOA.
Marigny and through The Treme
Business Casual
(site of the HBO series “Treme”)
by the Ernie K-Doe Mother-inLaw Lounge and down the
magnificent Esplanade Avenue 5:30 pm – 7:30 pm
passing by the Edgar Degas
While your parents are at the
House and on into Faubourg
Exhibitor
Rec, enjoy dinner and
Saint John. You will visit the
crafts or a movie with your
Chalmette Battlefield and above
friends. If younger than 5 years old,
ground St. Louis Cemetery #3,
must be accompanied by an adult.
cross over Bayou St. John into
This is not a babysitting service, but
City Park and the Dueling Oaks,
provided only for parents attending
then wind along the bayou to Old
the Exhibitor Rec; children must be
Spanish Fort and Lake
registered.
Pontchartrain. Then it’s onto the
University section, Audubon
Park, and the Streetcar line down
the majestic St. Charles Avenue Saturday, October 22
to the Irish Channel, Lower
Garden District, and Colesium 6:00 am – 1:15 pm
Tentative Schedule of Events
Events, dates and times subject to change.
6:45 am – 1:45 pm
drum, great fighting fish.
Includes box lunch, beverages,
transportation and captain’s
gratuity.
8:00 am
8:55 am – 9:05 am
9:40 am – 12:30 pm
Using fresh and local
ingredients, we create dishes
that any home chef can master.
When you take a class, you will
be invited into the kitchen to 6:15 pm – 11:00 pm
share recipes and experiences.
The class offers an engaging
conversation about New Orleans
food, traditions, and culture. The
presentation concludes with a
full meal served in three
courses:
Shrimp
Creole,
Chicken Fricassee, and Bread
Pudding.
11:50 am – 12:20 pm
1:00 pm – 5:00 pm
1:00 pm – 5:30 pm
Tour the Honey Island Swamp
by boat and experience the
diverse Pearl River ecosystem
up close. The knowledgeable
tour guides will lead you down
the river and teach you about the 6:15 pm – 11:00 pm
steps that are being taken to
preserve the Pearl River.
Fish one of the most exciting
salt water estuaries in the world,
near the city of New Orleans. It
will be shallow water marsh
fishing for redfish, and black
*You will need a fishing license. We
cannot get those for you. Please go to
www.wlf.louisiana.gov or call 888765-2602 and purchase license #79, a
resident/non-resident 3 day charter
passenger license. You no longer
need a charter guide number. Please
bring your authorization number and
ID with you aboard boat.
The evening begins with a
reception with music brought to
you by the EOA Jazz Band and
the strolling magic of Oz.
Followed by a show blending
magic, mind reading, and humor
into an experience like none
other. His world-class sleight of
hand and mind reading abilities
will delight all. Accompanied by
a delicious meal, good company,
and dancing. It will be an event
to remember.
: Festive - (Jackets only, no ties)
While your parents are at the
Founders’ Dinner, enjoy dinner
and crafts or a movie with your
friends. If younger than 5 years old,
must be accompanied by an adult.
This is not a babysitting service, but
provided only for parents attending
the Founders’ Dinner; children must
be registered.
Annual Meeting Registration Form
Eastern Orthopaedic Association's 47th Annual Meeting
October 19-22, 2016 ‰ The Ritz-Carlton ‰ New Orleans, LA
www.eoa-assn.org ‰ Phone: 866-362-1409 ‰ Fax: 410-494-0515
_______________________________________________________________________________________________
Name
Degree
Sub-Specialty
_______________________________________________________________________________________________
Company/Institution
Department
_______________________________________________________________________________________________
Address
City
State
ZIP
_______________________________________________________________________________________________
Office Phone
Email Address
Physician/Allied Health Registration Fee Includes: Scientific Sessions, Scientific
Poster Sessions, Multimedia Education Sessions, Welcome Reception, Exhibitor
Reception, Symposia, Continental Breakfasts, Workshops, Breaks, Jazz Reception
and Founders’ Dinner.
Airboat Tour - Thurs 10/20 ($96)
Guest Registration Fee Includes: Guest/Child Hospitality, Welcome Reception,
Exhibitor Reception, and Jazz Reception and Founders’ Dinner.
Golf Tournament - Fri 10/21 ($159)
City Tour - Fri 10/21 ($50)
Child Registration Fee Includes: Guest/Child Hospitality, Welcome Reception,
and Kids’ Movie Nights with Arts & Crafts and Dinner on Friday and Saturday.
Drink & Learn Cocktail Tour - Fri 10/21 ($45)
Cooking Demo at Crescent City Cooks - Sat 10/22 ($31)
Fishing - Sat 10/22 ($240) *You must buy a fishing license
New 2016 EOA Member
No Charge
EOA/NJOS Member Physician
$695
Moderator/Presenter
$695
Non Member Physician
Emeritus Member
Active Military
$995
$400
$200
Allied Health Professional
Award/Grant Recipient
Resident/Fellow
Medical Student
Eco Swamp Tour - Sat 10/22 ($145)
* You will need a fishing license. We cannot get those for you. Please go to www.wlf.louisiana.gov
or call 888-765-2602 and purchase license #79, a resident/non-resident 3 day charter passenger
license. You no longer need a charter guide number. Please bring your authorization number and ID
with you aboard boat.
$350
No Charge
$150
$150
Spouse/Guest (18+)
Child(ren) 5-17 years
Child(ren) under 5 years
ONLY
unregistered
spouses, guests,
and children who
wish to attend
events should fill
out this form.
$225
$35
No Charge
These events are
included for
registered
spouses, guests
and children.
Please provide the information below for each of your adult
guests so we can put their name badges in your registration
packet. Registered children (5-17) will receive a wristband.
___________________________________________
Spouse/Guest Name
City
State
___________________________________________
Guest Name
City
State
___________________________________________
Guest Name
City
Guest/Child Hospitality - Adult ($40)
Guest/Child Hospitality - Child 5-17 ($20)
Welcome Reception - Adult ($100)
Welcome Reception - Child 5-17 ($25)
Exhibitor Reception - Adult ($75)
Kids’ Movie Night with Arts & Crafts ($25)
Founders’ Dinner - Adult ($150)
Kids’ Movie Night with Arts & Crafts ($25)
Child Surcharge - Founders’ Dinner ($95)
Physician/Allied Health Registration Fee
Guest Registration Fees
Tours/Activities Fees
Unregistered Guest Event Fees
TOTAL
$___________
$___________
$___________
$___________
$___________
State
___________________________________________
Spouse/Guest Email Address for Meeting Updates
CANCELLATION POLICY: Full refund (less $35.00 administrative fee) will be granted if
a cancellation is made prior to 10 business days before the meeting date; a 50% refund if
canceled between 5 and 10 business days before the meeting date. No refund will be granted
within 5 business days of the meeting, or anytime thereafter.
◊ SPECIAL NEEDS: If you have hearing, vision or mobility impairment and need
appropriate accommodations in order to participate fully in this activity, please check here and
notify us by September 1, 2016. You will be contacted by the EOA Management Company,
DTMS, to discuss your needs.
◊ Check Enclosed (payable to Eastern Orthopaedic Association)
◊ Charge my: ◊ Visa ◊ MasterCard ◊ American Express
______________________________________________________________
Credit Card Number
_____________
Expiration Date
_____________
CVV
_____________________________________________________________________________________________
Name on Card
_____________________________________________________________________________________________
Billing Address
City
State
ZIP
Eastern
Orthopaedic
Association
110 West Rd, Suite 227
Towson, MD 21204
See you in New Orleans