REGISTRATION FORM
Lab Medicine 2013
Academy of Clinical Laboratory Physicians & Scientists
48th Annual Meeting
Emory University School of Medicine
Department of Pathology & Laboratory Medicine
Atlanta, GA
June 6 - 8, 2013
Name:
Degree(s):
Institution/Program Affiliation:
Address:
Phone:
Fax:
Email:
Registration Fees *
Young Investigator Award Winner
Full Meeting Registration (Includes all meals)
Late Registration (received after 5/15/2013)
Fee Waived
$350
$400
Thursday Sessions Only
Friday Sessions Only
Saturday Sessions Only
$150
$150
$150
Activities:
Thursday June 6 at 6:00 pm: Welcome Reception, includes cocktails and hors d’oeuvres –
Old Decatur Courthouse http://www.dekalbhistory.org/dekalb_history_center_preservation_courthouse.htm/
Yes, I will attend
No, I will not attend
Guests are $50.00 each: Number of guests:
x $50 / Guest = $
Guest name(s):
Friday June 7 at 12:00 pm: Invited Luncheon for Directors of Clinical Pathology Divisions and Departments
Background:
Directors of Clinical Pathology are responsible for an important array of clinical, academic and administrative
duties. However, they have few if any formal associations in which to discuss important trends and common challenges. The ACLPS
2013 planning committee would like to convene a group to assess the feasibility and desire for an association of Directors of Clinical
Pathology Divisions and Departments.
Yes, I am a Director of a Clinical Pathology Division or Department and will attend
Saturday June 8 at 6:00 pm: Awards Banquet – World of Coca-Cola
Yes, I will attend
www.worldofcoca-cola.com/
No, I will not attend
Guests are $150.00 each: Number of guests:
x $150 / Guest = $
Guest name(s):
Special Dietary Requirements (including allergies; please specify):
Sunday June 9 at 11:30 am: Box Lunch
Yes, I would like a box lunch
No, I will not attend
No, I would not like a box lunch
*Registration Fees Information: Full meeting registration fee includes:
Course materials, breaks, breakfast and lunch on Friday and Saturday, Thursday’s Welcome Reception and Friday’s Awards Banquet.
The registration fee is refundable, less a $25 cancellation fee, if cancelled prior to 05/15/2013. Cancellations after 05/15/2013 are not refundable.
Payment Information:
Personal check made out to: ACLPS 2013 (enclose and mail).
Corporate check made out to: ACLPS 2013 (enclose and mail).
Please print and complete this form and return via e-mail, US mail or fax to:
James C. Ritchie, PhD; c/o Janice Bell, Administrative Coordinator
Emory University School of Medicine, Department of Pathology & Laboratory Medicine
Emory University Hospital, Suite F147, 1364 Clifton Road, Atlanta, GA 30322
Email: Janice.Bell@emoryhealthcare.org; phone: 404-712-5967; fax 404-712-5596
Transportation
Taxis are available outside the baggage claim area of Hartsfield-Jackson Atlanta International Airport. In addition,
rapid transit (MARTA) can be taken from the Airport to a station close to the hotel. See maps on the following page.
Hotel
The meeting will be held at the Courtyard Atlanta Decatur Downtown/Emory. Hotel rooms will be reserved for
the ACLPS meeting until 5/16/2013. No alternative hotels are within walking distance, so we recommend that
reservations be made before this date at the meeting hotel.
Hotel reservations should be made before 5/16/2013 in order to receive the meeting room rate.
Please mention the ACLPS group to receive the discounted rate of $119/night.
Courtyard Atlanta Decatur Downtown/Emory
130 Clairemont Avenue · Decatur, Georgia 30030 USA
Reservation Line: 404-371-0204 (Direct), 1-888-236-2427 (Toll-Free)
(Mention Academy of Clinical Laboratory Physicians and Scientists Meeting)
Web: http://www.marriott.com/hotels/travel/atldc-courtyard-atlanta-decatur-downtown-emory/
To learn more about things to do in Atlanta, go to http://www.atlanta.net/visitors/seedo.html
Area Maps
Rapid Transit Rail Lines
1. Take Red or Yellow Line north
from the Airport
2. Transfer to Blue Line at the Five
Points Station
3. Take Blue Line east to the Decatur
Station
Downtown Decatur
Hotel is approximately three blocks north
of the Decatur MARTA Station