ACRM 97th Annual Conference CORE: 21 – 24 OCT 2020 …emails prior to the conference from ACRM on behalf of conference sponsors and exhibitors. ¨ First-time attendee. ... Stroke

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DR. MR. MRS. MS. MISS

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REGISTRATION DATE

REGISTER online at www.ACRM.org/register OR complete this form and submit via email, fax or mail (see last page).

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ATTENDEE TYPE (Select One) Student/Resident/Fellow Member Student/Resident/Fellow Non-Member Consumer Member Consumer Non-Member Early Career Member Early Career Non-Member Professional Member Professional Non-Member

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¨Check here to opt out of receiving a small number of informativeemails prior to the conference from ACRM on behalf ofconference sponsors and exhibitors.

¨First-time attendee

PLEASE ENTER INFO BELOW AS YOU WANT IT TO APPEAR ON YOUR CONFERENCE NAME BADGE

NOTE: THERE IS SPACE FOR ONLY 2 CREDENTIALS ON YOUR NAME BADGE

CONTACT INFORMATION

REGISTRATION OPTIONSThere are 3 routes to register:

1) 6-Day World Pass2) CORE & more3) Instructional Course Pass

WHAT SESSION(S) WILL YOU BE PRESENTING? (Select all that apply) I am not presenting this year Cognitive Rehabilitation Training Early Career Development Course Instructional Course Symposia Oral Paper Poster Late Breaking Poster Launch Pad

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ACRM COMMUNITY GROUPS

Non-member registration includes 6-month introductory ACRM membership.

Please select the ACRM groups that are most relevant to you, so we may introduce you to opportunities and benefits available.

You will receive email communication for the groups that you select. You may opt out of these emails anytime.

Arts and Neuroscience Networking Group

Athlete Development & Sports Rehabilitation Networking Group

Brain Injury Interdisciplinary Special Interest Networking Group (BI-ISIG)

Cancer Rehabilitation Networking Group

Complementary Integrative Rehabilitation Networking Group

Early Career Networking Group

Geriatric Rehabilitation Networking Group

Health Services Research Networking Group

International Networking Group

Lifestyle Medicine Networking Group

Limb Restoration Rehabilitation Networking Group

Measurement Networking Group

Military / Veterans Affairs Networking Group

Neurodegenerative Diseases Networking Group

Neuroplasticity Networking Group

Pain Rehabilitation Networking Group

Pediatric Rehabilitation Networking Group

Physicians & Clinicians Networking Group

Rehabilitation Treatment Specification Networking Group

Spinal Cord Injury Interdisciplinary Special InterestNetworking Group (SCI-ISIG)

Stroke Interdisciplinary Special Interest Networking Group (STROKE-ISIG)

Technology Networking Group

Please make your selections on the following pages >>

ACRM 97th Annual Conference CORE: 21 – 24 OCT 2020PRE-CONFERENCE: 19 – 21 OCT I N T E R D I S C I P L I N A R YATLANTA

PROGRESS IN REHABILITATION RESEARCH #ACRM2020

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mailto:MemberServices%40ACRM.org?subject=

https://acrm.org/meetings/2020-annual-conference/registration-2/


*PLEASE NOTE: These are NOT included in the WORLD PASS: Cognitive Rehabilitation Courses held Pre-Conference: Cognitive Rehabilitation Training. These are available for purchase separately with a discount for WORLD PASS purchasers.

Please check the boxes for all activities you wish to include in your WORLD PASS

3.5 DAY CORE PASS

6-DAYWORLD PASS

WORLD PASS

PURCHASERSPlease check the boxes for all activities you

wish to add on in your WORLD PASS purchase

$299 - 579 $499 - 779(Prices in parenthesis below indicate the Early Bird costs if purchased separately.)

CORE CONFERENCE ($249/one-day student - $579/3.5 day professional) Educational Symposia WED – SAT: 250+ sessions & lectures 4 Plenary Sessions Moderated Panel Discussions Awards Lectures Scientific Posters — hundreds! ACRM Community Meetings: Interdisciplinary Special Interest Groups (ISIGs), Networking Groups, Task Forces and Committees. A few are invitation only. CME/CEU credits

VIRTUAL ACRM EXPO: Poster Grand Rounds Chat with the Experts Learning Center

PRE-CONFERENCE

INSTRUCTIONAL COURSES ($69 - 749) additional fee Early Career Development Course: WED ($249 - 499) additional fee Cognitive Rehabilitation Training ($299 - 749) additional fee ONLY $150 - 375

Conference Slides / PDFs Digital access to all available symposia and pre-conference instructional course slide presentations (PDFs). A few content leaders elect not to have their slides available to attendees, therefore some sessions may not be included. Cognitive Rehabilitation Training and Early Career Development Course are not included.

3.5 days of courses

6-days of courses

PASS COMPARISON



http://www.ACRM.org


http://acrm.org/register


THROUGH 30 JUNE 1 JULY - 18 OCT 19 OCT- 24 OCT

STUDENT / RESIDENT / FELLOW CONSUMER / NON-PROFESSIONAL CAREGIVER

MEMBER 499 649 749

NON-MEMBER 599 749 849

EARLY CAREERMEMBER 599 749 849


PROFESSIONALMEMBER 679 849 1,249

NON-MEMBER 779 949 1,349*PLEASE NOTE: These are available for purchase separately and are NOT included in the WORLD PASS: COGNITIVE REHABILITATION COURSES held

Pre-Conference: Cognitive Rehabilitation Training.

BEST VALUE

CORE + PRE-CONFERENCEINCLUDES: VIRTUAL ACCESS to all sessions including instructional courses, symposia, plenaries, featured sessions, awards lectures, ACRM community group meetings, posters, CME/CEU credits, all ‘available’ Recorded Pre and Core Conference Sessions & Slides (presentations, papers, posters), and full access to action in the ACRM Virtual EXPO, CME/CEU credits, and a discount rate ticket to Special Courses (Cognitive Training).

EARLY BIRD REGULAR ON-SITE

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WORLD PASS6-DAY


MEMBER 2 299 399 499 NON-MEMBER 349 449

EARLY CAREERMEMBER 429 549 749 NON-MEMBER 529 649 849

PROFESSIONALMEMBER 479 629 1,049NON-MEMBER 579 729 1,199

WED 12:45 PM THROUGH SAT 21 - 24 OCT

INCLUDES: VIRTUAL-ONLY: access to all sessions WED afternoon through SAT including symposia, plenaries, featured sessions, awards lectures, ACRM community group meetings, posters, CME/CEU credits, all 'available' Recorded Core Conference Sessions & Slides (presentations, papers, posters), and EARLY BIRD REGULAR ON-SITE full access to the ACRM VIRTUAL EXPO & Learning Center including Chat with the Experts.

3.5 D

AY3.5-DAYCORE PASS

THROUGH 30 JUNE 1 JULY - 18 OCT 19 OCT - 24 OCT


MEMBER 150 175 250




PROFESSIONALMEMBER 200 250 325


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COGNITIVE REHABILITATION TRAINING: MON – TUES: Virtual registration includes two days of recorded training, one printed copy of the ACRM Cognitive Rehabilitation Manual ($150 value), CME/CEUcredits, six months of access to previously recorded Cognitive Rehabilitation EARLY BIRD REGULAR ON-SITE Training (including the live audio recording synchronized with the original slides).

WITH WORLD PASSCOGNITIVE REHABILITATION TRAINING

http://www.ACRM.org






MEMBER 249 309 389NON-MEMBER 299 369 489

EARLY CAREERMEMBER 289 349 419NON-MEMBER 369 449 519

PROFESSIONALMEMBER 329 399 449NON-MEMBER 399 479 549

1-DA

YSelect WED, THURS, FRI or SAT INCLUDES: ONE day of VIRTUAL-ONLY access to sessions for that day including symposia, plenaries, featured sessions, awards lectures, ACRM community group meetings, posters, CME/CEU credits, all ‘available’ Recorded Conference Sessions & Slides for the DAY(s) Registered (presentations, papers, posters), and full access to action in the ACRM Virtual EXPO.

1-DAY CORE PASS

CME/CEU processing is included with registration. Please select all that you will be claiming:

○ Certified Case Managers (CCMC)

○ Disability Management Specialists (CDMS)

○ Healthcare Executives (ACHE)

○ Massage Therapists (NCBTMB)

○ Nurses (ANCC)

○ Occupational Therapists (AOTA)

○ Physical Therapists (FSBPT, and other states)

○ Physicians (ACCME, includes Canada Physiciansand Physician Assistants)

○ Registered Dietitians (CDR)

○ Rehabilitation Counselors (CRCC)

○ Rehabilitation Psychologist (APA Division 22)

○ Social Workers (NASW)

○ Speech-Language-Hearing Therapists (ASHA)

SELECT ONE: WED THU FRI or SAT




INSTRUCTIONAL COURSE PASS (PRE-CONFERENCE)











Choose from dozens of half-day and full-day courses on a wide variety of topics — see next page. All Instructional Courses are INCLUDED in the WORLD PASS.

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HOUR

4-HOUR INSTRUCTIONAL COURSESELECT ONE: MON TUE or WEDINCLUDES: CME/CEU credits, available slides for course selected

8-HOUR INSTRUCTIONAL COURSESELECT ONE: MON or TUE INCLUDES: CME/CEU credits, available slides for course selected

ACRM.org/preconference

£ STUDENT / RESIDENT / FELLOW£ CONSUMER / NON-PROFESSIONAL CAREGIVER

MEMBER ¨ 179 ¨ 249 ¨ 339NON-MEMBER ¨ 249 ¨ 339 ¨ 449

EARLY CAREERMEMBER ¨ 179 ¨ 249 ¨ 339NON-MEMBER ¨ 249 ¨ 339 ¨ 449

PROFESSIONALMEMBER ¨ 179 ¨ 249 ¨ 339NON-MEMBER ¨ 249 ¨ 339 ¨ 449

2.5

DAYS

2.5 DAYS INSTRUCTIONAL COURSE PASSINCLUDES: MON, TUE and WED MORNING INCLUDES: CME/CEU Credits, all available Instructional Course slides

http://www.ACRM.org



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MEMBER 249 299 399


(Not included in WORLD PASS)




MEMBER 299 349 499




PROFESSIONALMEMBER 399 499 649


SPECIAL COURSES COGNITIVE REHABILITATION TRAINING

EARLY CAREER DEVELOPMENT COURSE

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EARLY CAREER DEVELOPMENT COURSE

Early Career Development Course: Virtual registration includes CME/CEU credits. This session connects early career rehabilitation researchers with seasoned professionals who serve as mentors to answer specific questions regarding career development and funding OPPORTUNITIES. This is included in the WORLD PASS

(This course IS included in WORLD PASS)



COGNITIVE REHABILITATION TRAINING: MON – TUES: Virtual registration includes two days of recorded training, one printed copy of the ACRM Cognitive Rehabilitation Manual ($150 value), CME/CEU credits, six months of access to previously recorded Cognitive Rehabilitation Training (including the live audio recording synchronized with the original slides).

ACRM.org/ecdc

http://www.ACRM.org


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https://acrm.org/meetings/2020-annual-conference/program/preconference/ecdc/


INSTRUCTIONAL COURSES (ICs)

$ While this course is included in the WORLD PASS, this incredible Early Career course includes networking box lunch and has a separate pricing structure when purchased separately — please see previous page. Advance registration is required.

All courses are INCLUDED in the WORLD PASS. Continuing education credits and conference slides are included. A few content leaders elect not to have their slides available to attendees, therefore some sessions may not be included.

TWO-DAY INSTRUCTIONAL COURSE MON - TUE 19 - 20 OCT

IC2A MON IC2B TUE Emerging Concepts & Evidence Basis behind Novel Approaches to Managing Chronic Spinal Pain PAIN CP INT NP TEC

ONE-DAY EARLY CAREER DEVELOPMENT COURSE WED 8:00 AM - 4:45 PM

ECDC Early Career Development Course — Careers Across the Spectrum: Meeting You Where You Are CROSS-CUTTING

MONDAY 19 OCT

FULL DAY 8:30 AM - 5:30 PM

IC29 ACRM Leadership Development Course CROSS-CUTTING

IC1 Defining Ethical Guidelines for Augmented Intelligence TEC CP CROSS-CUTTING ETH

IC3 Roll With It – Advanced Wheelchair Skills Training for the Real World CROSS-CUTTING ND CP

IC4 Self-Management for individuals with stroke: An introduction and practical application ST LM

IC23 AFTERNOON 1:30 PM - 5:30 PM Management of Vision Deficits Following Acquired Brain Injury BI CP

TUESDAY 20 OCT

MORNING 8:30 AM - 12:30 PM

IC5 A Guide to Best-Practice Interdisciplinary Goal Setting in Clinical Practice and Innovative Tools on Outcomes CP BI TEC

IC6 Longitudinal Data Analysis and Practical Workshop Using R: PART I INTRODUCTORY TOPICS MEAS CROSS-CUTTING

FULL DAY 8:30 AM - 5:30 PM

IC7 Aging Healthy is the New Normal: The Impact of New Knowledge, Practices & Innovative Tools on Outcomes GER CP

Commercialization Education for Translation of Neural Medical Devices and Technologies TEC CP HSR

IC9 Disorder of Consciousness: The Implementation of Guideline Recommendations for Interdisciplinary Clinical Rehabilitation Practice: An Interactive Course

BI CP

IC10 Evidence-based Cognitive & Physical Rehabilitation Strategies for Improving Function & Wellbeing in People with MS ND CP

IC11 Integrating Patient Reported Outcomes (PRO) in Rehabilitation Clinical Practice CP HSR MEAS

IC12 Interdisciplinary Perspectives to Functional Measurement and Assessment of the Stroke Survivor ST CP MEAS

IC13 Optimizing Pediatric NeuroRecovery: Benefits of Early Intervention and Activity-Based Therapy PED CP

IC14 The User Experience & Usability Research: In-depth look at Interviews, Observational Studies & Usability Testing CROSS-CUTTING TEC

IC15 Vestibular Evaluation and Management in Individuals with Brain and/or Spinal Cord Injury CP BI NP SCI

IC30 Innovations in Limb Loss Rehabilitation LR CROSS-CUTTING TEC

AFTERNOON 1:30 PM - 5:30 PM

IC16 Longitudinal Data Analysis and Practical Workshop Using R: PART II ADVANCED TOPICS MEAS CROSS-CUTTING

IC17 Using a Knowledge Translation Framework in Disability Research CP

WEDNESDAY 21 OCT

MORNING 8:30 AM - 12:30 PM

IC18 An Electrifying Introduction to the Use of Functional Electrical Stimulation in Neurorehabilitation: A Hands-on Approach CP BI GER PED SCI ST TEC

IC19 Functional Assessment & Prism Adaptation Treatment for Spatial Neglect after Stroke ST CP

IC20 Interdisciplinary Care for Concussion/Mild Traumatic Brain Injury: A Model for Differential Diagnosis & Management BI ADSR CP

IC21 International Standards for Neurological Classification of Spinal Cord Injury: Improving Examination & Classification Accuracy

CP SCI

IC22 Introduction to Culinary Coaching LM BI CAN CP GER ND PAIN SCI ST TEC

IC24 Maximizing Provider Communication with Patients with Neurological Disorders Across Clinical Settings CP BI GER MIL ND ST

IC25 NIH Toolbox: Innovative Assessments for Rehab Practice and Research MEAS BI CP CROSS-CUTTING

IC26 Proactive PNE: Incorporating Inter-Disciplinary Pain Neuroscience Education & Non-Pharmacological Pain Treatment Methods from a Health Systems Perspective PAIN CP CROSS-CUTTING NP

IC27 Rehabilitation for Functional Movement Disorders — The Works CP CROSS-CUTTING MEAS

IC28 Rehabilitation Treatment Specification System (RTSS): Principles and Application in Rehabilitation Education, Research & Clinical Practice

CROSS-CUTTING CP RTS

AN: Arts & Neuroscience ADSR: Athlete Development & Rehabilitation BI: Brain Injury Rehabilitation CAN: CANcer rehabilitation CROSS-CUTTING / CC: Spanning Diagnoses CIRM: Complementary, Integrative, Rehabilitation Medicine CP: Clinical Practice GER: GERiatric Rehabilitation HSR: Health Services Research INT: INTernational LR: Limb Restoration Rehabilitation LM: Lifestyle Medicine MEAS: MEASurement MIL: MILitary/veterans affairs ND: Neurodegenerative Disease (e.g. MS, Parkinson’s disease) NP: NeuroPlasticity (includes neuroscience) PAIN: PAIN rehabilitation PED: PEDiatric rehabilitation QUAL: QUALity Improvement & Implementation Science RTS: Rehabilitation Treatment Specifications SCI: Spinal Cord Injury ST: Stroke Rehabilitation TEC: TEChnology (robotics, assistive technology, mHealth)

KEY

ATTN WORLD PASS purchasers!• Make your course selections from the list below.• These courses are included in your WORLD PASS.• Check here if you will not be attending these courses:• You will have the opportunity to change selections later.

See details: ACRM.org/preconference



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https://acrm.org/meetings/2020-annual-conference/program/preconference/


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STUDENT / RESIDENT / FELLOW: Attendees enrolled in an accredited school of medicine or approved graduate or undergraduate program or fellowship in a medical rehabilitation discipline.

EARLY CAREER: Professionals during first five years after completion of post-graduate studies.

REHABILITATION PROFESSIONAL: Professionals in medical rehabilitation or a related field who are actively engaged in the practice, administration, education or research of medical rehabilitation.

CONSUMER / NON-PROFESSIONAL CAREGIVER: People with disabilities and caregivers who use rehabilitation services and/or research.

MEMBER: ACRM members enjoy savings on ACRM products and events, including annual conference registration. Visit www.ACRM. org/join to become a member and start saving. To receive the Member Rate, one must be an active ACRM Member (not a Special Interest or Networking Group member only) on the day of registration.

NON-MEMBER: A person without a current ACRM membership on the date of registration.

GENERAL POLICIES WITH TRANSACTIONS

SUBSTITUTIONS / TRANSFERS BETWEEN REGISTRANTS: Registrants wishing to transfer their registration to another individual must submit a written request to [email protected]. Instructional Courses are non-transferable. A substitution fee of $249 USD will be charged against the original registration on transfer requests received before 1 September 2020. No substitutions will be made on or after 1 September 2020. Those who register as non-members retain their 6-month ACRM membership.

CONFERENCE CANCELLATION BY REGISTRANT: ACRM is a non-profit organization. Registrants wishing to cancel their registration and receive a refund for items other than Instructional Courses must submit a written request to [email protected]. Instructional Courses are non-refundable. A cancellation fee of $249 USD will be charged on cancellation requests received on or before 31 May 2020 and the balance remaining will be refunded. On or after 1 June 2020, a cancellation fee of $249 USD or 50% of registration paid, whichever is greater, will be charged and the balance paid will be refunded. If the registration paid is less than or equal to $249, no refund will be given. No refunds will be made on or after 1 September 2020. Those who register as non-members retain their 6-month ACRM membership.

TYPES OF PAYMENT: Credit card (MasterCard, VISA, American Express, Discover), check/money order (U.S. funds only) made payable to ACRM, wire transfer for an additional $25 fee.

PAYMENT DECLINED: If a credit card payment is declined, the registrant will be notified and an alternative method of payment requested. A $15 USD processing fee will be applied for returned checks and/or rebilling of a credit card.

RATE INFO

TERMS & CONDITIONS



COURSE CANCELLATION BY REGISTRANT FOR COGNITIVE REHABILITATION TRAINING (CRT), AND/OR EARLY CAREER DEVELOPMENT COURSE (ECD): Registrants wishing to cancel their course registration (CRT, ECD) and receive a refund for items other than ICs must submit a written request to [email protected]. ICs are non-refundable. A cancellation fee of $199 USD or 50% of the course fee, whichever is greater, will be charged on cancellation requests received on or before 31 August 2020. No refunds will be made on or after 1 September 2020. Those who register as non-members retain their 6-month ACRM membership.

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TERMS AND CONDITIONS

FORCE MAJEURE: In the event of a full or partial cancellation of the ACRM Annual Conference due to natural disaster or other force beyond the control of ACRM, ACRM will refund registrations in proportion with the cancellation insurance proceeds it receives.

TRANSFERS BETWEEN IN PERSON AND VIRTUAL REGISTRATION: If you register as a Virtual-Only Attendee and later determine you want to attend in person, you have the option to change your registration to an In-Person and pay the difference in the registration fees.

RECORDING BY ATTENDEES: Recording or photographing conference sessions by an attendee, panel discussions or sponsor exhibits is strictly prohibited.

ETIQUETTE: To make the conference experience an enjoyable event for all attendees, we ask that you keep the following in mind: • Ensure that all comments within the online virtual networking are professional and respectful of all attendees and presenters.

SOLICITATION: By registering, you agree not to solicit vendors or exhibitors

STATEMENT OF LIABILITY WAIVER — TERMS OF REGISTRATION: ACRM or any other conference sponsor claims no liability for the acts of any suppliers at or to the meeting, or for the safety of any registrant while in transit to or from this event. ACRM shall not be liable for any delays or failure in performance or interruption of services resulting directly or indirectly from any cause or circumstance beyond the reasonable control of the organization including but not limited to, acts of God, acts of public enemy, war, accidents, fires, electrical failures, strikes, labor disputes, postal delays, explosions, governmental order or regulations.

ACRM reserves the right to cancel the conference or any function without liability. Registrants who purchased non-refundable airline tickets do so at their own risk. The total amount of any liability of ACRM will be limited to a refund of the registration fee.

By attending the conference, the registrant agrees to indemnify and hold harmless ACRM, other conference sponsors, their respective officers, directors and agents, against all claims arising out of actions or omissions of supplier, attendee, or other individual at or in connection with the conference except for ACRM’s or any other sponsor’s own gross negligence or willful misconduct.

ACRM or any other conference sponsor reserves the right to substitute an equally qualified speaker in case of an emergency or cancellation.

ACRM or any conference sponsor has no duty of due diligence with respect to presenters, exhibitors, or sponsors, and makes no endorsements of any presentation or product.

Sessions, events and exhibits can only be attended by registered attendees.

PLEASE CHECK! I have read and agree to the Terms & Conditions above and on previous page



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Type of Payment Enclosed

Check/Money Order (US Funds Only) Check #__________Make check payable to: ACRM

Credit Card (fill out information below)MasterCard Visa ❏ American Express ❏Discover

Credit Card #:__________________________________________________

Expiration Date:__________________ Security Code:_______________

Print name as it appears on card:_____________________________________

Cardholder’s Signature: ___________________________________________

Cardholder’s e-mail address: _____________________________________

Check here if you want to bundle ACRMmembership/pay your dues renewal too.

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$___________TOTAL AMOUNT in USD < The sum from your selections on the previous pages.

EMAIL: [email protected] ORFAX: +1.866.692.1619 ORMAIL CHECKS TO: PROCESS CREDIT CARD FORMS TO: ACRM: PO Box 896700 email [email protected]

Charlotte, NC 28289-6700

PAYMENT

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SUBMIT

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Address 2

City

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(to send confirmation)

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For questions related to the status of registrations, please contact [email protected] or phone: +1.703.435.5335

Online registration at:

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Documents

ACRM 97th Annual Conference CORE: 21 – 24 OCT 2020 …emails prior to the conference from ACRM on behalf of conference sponsors and exhibitors. ¨ First-time attendee. ... Stroke