15th New England Doppler Conference
Lake Arrowhead, California  31 May – 3 June 2009

Registration Form

Surname 					First Name(s) 				______

Title 						    		Male      	Female        .

Mailing address: 											

													

Telephone  					       Fax 						

e-mail address 												

Name accompanying adults-  										

Are you a currently a graduate student?  		
(Graduate students please include a letter from your faculty supervisor.)

Registration charge-
The charge includes accommodation (Sunday, Monday and Tuesday nights), meals and conference facilities.  We have made provisions for some accompanying adults and children.  

Registration participant 						US$725	=   		

Registration participating graduate student				US$400	=  		

Accompanying non-participants over age 14		# 	       @ US$450	=   		

Children (ages 3-14)					#                 @ US$225	=   		

								Total   	=	    US$      		

Payment must be by check or money order in US dollars made out to
 N E Doppler Conference

 Registration must be received by 25 April 2009

Please indicate the topics you wish to present.  As mentioned, we are always welcome volunteers to chair sessions.

						Prepared to Speak	Prepared to chair
									a session
Signal processing                                                    				
				
New transducers				
				
Output measurements				
				
Ultrasound contrast				
				
Vector Doppler				
				
3D Doppler				
				
Doppler test devices				
				
Color imaging				
				
Hemodynamics				
				
Volume flow and velocity measurements				
				
Tissue motion				
				
Embolus detection				
				
Elastography				

Clinical applications

Other (please specify below)				

Other details

Any special food requirements?  									

	 Check if you need information on accommodations before or after the conference.

	 Check if you need information on transportation to/from Conference Center

Registration and checks should be mailed to me at:

J. 	Dennis Baker, M D
11301 Wilshire Blvd- 10H2
Los Angeles CA 9073, USA

If you want to assure a reservation, you can send me the registration by email or fax (310  268-4741) and send the check by mail.  (Receipt of electronic registration will be taken as a guarantee that payment follows.) 

regform