AIMsymposium Individual Registration

Personal Information            * Denotes Required Fields

* First Name:
* Last Name (Surname, Family Name):
Degree:
If you are a physician/surgeon/professor,
please select either MD or DO as your degree
If Other:
National Provider Number (NPI):
* Physician or Non-Physician: Physician Non-Physician
Specialty: If Other:
Affiliation:
* Cleveland Clinic Employee? Yes No
* Address Type: Home Other
* Address:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
* E-Mail:
A valid registrant's email address is required for
confirmation and CME Certification

This e-mail address can be used only once
Alternate E-Mail (Secretary/Assistant):
* Phone: U.S. Telephone: - - or
International Telephone:
Cell Phone: U.S. Cell Phone: - - or
International Cell Phone:
Fax: U.S. Fax: - - or
International Fax:

Full Registration: Monday-Thursday

Physicians (excluding Fellows/Trainees and Residents) $765
Physicians Combination Rate - VEITHsymposium and AIMsymposium $1899
US and Canadian Radiology Finishing Fellows in Training as of November 2024
        (Tuition provided through an Educational Grant by W.L. Gore & Associates, Inc.)
        Letter of verification from Chief of Service must be obtained prior to registration and
        e-mailed to registrar@aimsymposium.org. The letter must include the start and end dates of
        Interventional Radiology

Complimentary
Non-US Fellows and Residents (Trainees)*
        *Letter of verification from Chief of Service must be obtained prior to registration
        and e-mailed to registrar@aimsymposium.org.
$500
Nurse Practitioners $500
Physician Assistants (non-physician, clinical) $500
Medical Students
        (Letter of verification from Dean must be obtained and e-mailed to registrar@aimsymposium.org)
$250
Residents $500
Nurses $500
Technologists $500
Exhibitors (Requires Discount Code)
       This fee applies to companies exhibiting at the meeting. Please contact your meeting coordinator to register.
$575
Exhibitors - Monday Only (Requires Discount Code)
       This fee applies to companies exhibiting at the meeting. Please contact your meeting coordinator to register.
$500
Exhibitors - Tuesday Only (Requires Discount Code)
       This fee applies to companies exhibiting at the meeting. Please contact your meeting coordinator to register.
$500
Exhibitors - Wednesday Only (Requires Discount Code)
       This fee applies to companies exhibiting at the meeting. Please contact your meeting coordinator to register.
$500
Pavilion Holders (Discount Code Required) $575
Allied Health Care Professionals, Venture Capitalists, and All Others $750

Component Meetings

Monday Only: Oncology/Embolization $349
Thursday Only - Multidisciplinary Acute Stroke Management at AIMsymposium and VEITHsymposium $349

Payment Method

Discount Code (If applicable)
Credit Card Payment (Pay now) Select this option to pay securely online now
Check Please note that checks must be received by 10/31/2024 and a copy of the registration form should accompany the check.
Please make checks payable to the Cleveland Clinic Educational Foundation and mail to:
The Cleveland Clinic Educational Foundation
Attn: EHCC082
P.O. Box 931653
Cleveland, OH 44193-1082

If sending by courier such as Federal Express, UPS or DHL, please send to:

The Cleveland Clinic Educational Foundation
Attn: Lockbox 931653
4100 West 150th Street
Cleveland, OH 44135
Wire/Bank Transfer Wire transfers will incur an additional $30 to the registration fee. Please note that wires must be received by 10/31/2024 and that the name of the registrant/registrants MUST appear on the wire transfer. Please send e-mail to registrar@AIMsymposium.org for bank instructions
Complimentary Select this option if your registration is complimentary.
Offline Credit Card Credit Card will be processed manually at a later time.

I have read and accept that there is a $95 cancellation fee if canceled in writing by October 19, 2024. No refunds will be made thereafter.