Registration Please indicate the quantity you would like for each type of registration shown below. Then click on "Continue" to confirm your order selections and total. After that we will ask for your name and address information and your payment information to complete your order on our secure server.   Register for WSMRF Registration is mandatory for all presenting participants.  Dinner guests for  the Award Banquet are welcome at an additional; $25 each, please see below.  Please note: All charges are calculated in US Dollars. All Canadian participants may register by credit card only. No international checks accepted.   Order at $110.00 each     Journal of Investigative Medicine Purchase a copy of the JIM for an additional $25 Note: All Canadian participants may register by credit card only. No international checks accepted.   Order at $25.00 each     Pick ONE breakfast below Breakfast with the Investigator - option 1 Registrants may select a total of one session on Friday OR Saturday. Seating is limited to the first 15 students for each session. All breakfast sessions are scheduled from 7:00 to 8:00 a.m. in the Captain's Table Room at the Monterey Beach Hotel Friday, January 29   Breakfast Topic:  "An Academic Career in Clinical Investigation"  Dr. Michel Boivin   Order     Breakfast with the Investigator - option 2 Registrants may select a total of one session on Friday OR Saturday. Seating is limited to the first 15 students for each session. All breakfast sessions are scheduled from 7:00 to 8:00 a.m. in the Captain's Table Room at the Monterey Beach Hotel Friday, January 29   Breakfast topic:  " Balancing career, family, and life"  Dr. Gary Satou                                     Order     Breakfast with the Investigator - option 3 Registrants may select a total of one session on Friday OR Saturday. Seating is limited to the first 15 students for each session. All breakfast sessions are scheduled from 7:00 to 8:00 a.m. in the Captain's Table Room at the Monterey Beach Hotel Friday, January 29  Breakfast topic:  "What to do with your professional career and how to decide"   Dr. Hal Yee   Order     Breakfast with the Investigator - option 4 Registrants may select a total of one session on Friday OR Saturday. Seating is limited to the first 15 students for each session. All breakfast sessions are scheduled from 7:00 to 8:00 a.m. in the Captain's Table Room at the Monterey Beach Hotel Friday, January 29  Breakfast topic:  "Mentoring careers in academic medicine"   Dr. Virginia Broudy   Order     Breakfast with the Investigator - option 5 Registrants may select a total of one session on Friday OR Saturday. Seating is limited to the first 15 students for each session. All breakfast sessions are scheduled from 7:00 to 8:00 a.m. in the Captain's Table  Room at the Monterey Beach Hotel Saturday, January 30 Breakfast topic:  "Life in Academic Medicine:  The Good, the Bad, and the Unexpected "  Dr. Marguerite McNeely                                                                         Order     Breakfast with the Investigator - option 6 Registrants may select a total of one session on Friday OR Saturday. Seating is limited to the first 15 students for each session. All breakfast sessions are scheduled from 7:00 to 8:00 a.m. in the Captain's Table Room at the Monterey Beach Hotel Saturday, January 30  Breakfast topic:  "An Academic Career in Clinical Investigation."  Dr. Fred Sattler        Order     Breakfast with the Investigator - option 7 Registrants may select a total of one session on Friday OR Saturday. Seating is limited to the first 15 students for each session. All breakfast sessions are scheduled from 7:00 to 8:00 a.m. in the Captain's Table Room at the Monterey Beach Hotel Saturday, January 30  Breakfast topic:  "The CV, the personal statement, and LORs in preparation for a residency program"  Dr. Sergio Huerta        Order     Breakfast with the Investigator - option 8 Registrants may select a total of one session on Friday OR Saturday. Seating is limited to the first 15 students for each session. All breakfast sessions are scheduled from 7:00 to 8:00 a.m. in the Captain's Table Room at the Monterey Beach Hotel Saturday, January 30  Breakfast topic:  "Meaningful participation in international healthcare"  Dr. Tom Nighswander        Order     Residents' Luncheon Saturday, January 30 I will attend the Residents' Luncheon and Residency Application Panel for Medical Students on Saturday Jan. 30th   (no additional charge for this luncheon, however, attendance is limited to 100 people)   This Option is Sold Out!     Saturday Evening Additional Awards Banquet Guest Guests are welcome at an additional fee of $25.00 per person on Saturday evening, January 30, 2010. Note: All Canadian participants may register by credit card only. No international checks accepted.   Order at $25.00 each

Activity Questionnaire Western Student Medical Research Forum and Resident's Forum (WSMRF) has requested that its customers provide the following information to better help it fulfill your order. Required questions must be answered in order to complete your order.    I will attend the Joint Plenary Session I 8:30 a.m. to 12:00 p.m. on Thursday, Jan. 28th **Required YesNo  I will attend the Joint Plenary Session II 1:45 to 4:15 p.m. on Thursday, Jan. 28th **Required YesNo  I will attend the Posters, Pizza and Beer Session on Thursday Jan. 28th 6:00 pm-8:00 pm **Required YesNo  I will attend the Awards Banquet Jan. 30th -Saturday night 6:30 pm-9:00 pm **Required YesNo  My Awards Banquet dinner preference (Saturday night Jan. 30th) is: **Required Non-VegetarianVegetarianI am not attending this event  If bringing guest/s to the Awards Banquet, please enter name/s (There is a $25 charge per guest) **Required      Please select guest's food preference (add $25 per guest)   Non-VegetarianVegetarian  The full name of my school/institution is (NO abbreviations please!): **Required

Western Student Medical Research Forum and Resident's Forum (WSMRF) Purchase/refund policy: No refunds. All registered participants are expected to attend. Acteva's Purchase/refund policy: Refunds and cancellations are provided only at the discretion of the organization hosting or sponsoring this event. Acteva.com issues credits only when directed to do so by the sponsoring organization. Contact refunds@acteva.com or the sponsoring organization for further details.