Home

Payment for Registration

Advance Registration Form for the South Carolina Society of Pathologists' Annual Meeting

First Name*

Last Name*

Address*

City*

State*

Zip*

Office Telephone Number

Email*

Cocktails & Dinner*

Number Attending*

Member Type*

Physician Member of the SC Society of Pathologists: Registration Fee $225 (includes scientific session, one ticket for cocktails and dinner
at The Grove Park Inn.)

Physician Non-Member of the SC Society of Pathologists:Registration Fee $275 (includes scientific session, one ticket for cocktails and dinner
at The Grove Park Inn Country Club.)

Pathology Resident Member of the SC Society of Pathologists: No registration fee for scientific session. (Up to two complimentary tickets to the
cocktails and dinner at The Grove Park Inn Country Club. Please indicate above if you plan to attend this event and the
number attending.)

Resident Complimentary Tickets

Additional Dinner Tickets

Name on Badge

Total Amount

Payment method

Paypal

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*