Course Location & Hotel

Four Seasons Hotel
200 Boylston Street
Boston, MA  02116

Some sleeping rooms have been reserved for this meeting on a first-come, first-serve basis at the Four Seasons Hotel with a rate of $380.00/per person per night.  Please contact the hotel directly for room reservations at:  617-351-2036.

Course cancellation/refund:
Registrants may cancel their participation up to March 14, 2008 for a refund minus $25.00 administration fee.  Any cancellation after March 14, 2008 and/or a “no-show” will not qualify for a refund.  In the event the organization must cancel this course, the registrant will receive a full refund. 

Registration Form

Saturday, April 5, 2008
Age-Related Macular Degeneration:  New Horizons
Boston, Massachusetts

Name: ______________________________

Address 1: ____________________________

Address 2: ____________________________

City: ________________  ST: ____  Zip: ______

Phone: _______________________________

Fax: _________________________________

Email: _______________________________

COURSE FEES: $250.00 USD

METHOD OF PAYMENT:

  __ Check enclosed for $_______
  Please make payable to:  New England Eye Center

  __ Please bill my credit card:
  ___ AMEX      ___ Mastercard     ___Visa

Card No.:  ______________________________

Exp. Date: ______________________________

Cardholder Name: ________________________

Signature: ___________________________