Registration: Please complete and return the registration form to: FAX: 781-899-4900 CALL: 800-743-7206 ext. 103 or 107 MAIL: Opioid Management Society, 470 Boston Post Road, Weston, MA 02493 WEB: www.opioidmanagementsociety.org Fee: Payment for this conference is due with registration form. Payments may be made by check, Visa, MasterCard, Discover, or American Express. Please make all checks payable to the "Opioid Management Society" and write the name of the delegate(s) on the face of the check. Hotel Reservations: Go to www.opioidmanagementsociety.org for your conference hotel information. A discounted rate will be available at the conference hotel under the name “Opioid Education Program” (or OEP) for all registrants. Hotel room space is limited, so make your reservation early. A credit card number is required at the time of reserving your room. Hotel rates are based upon availability.

Cancellations and Substitutions: Should you be unable to attend for any reason, please inform us in writing two full weeks prior to the conference date, and a full refund less a 25% nonrefundable deposit will be issued. No refunds or credits will be given for cancellations received less than two weeks to the conference date. Substitutions of enrolled registrants must be made in writing. If, for any reason, the Opioid Management Society (OMS) decides to cancel this conference, OMS does not accept responsibility for covering airfare, hotel, or other costs incurred by registrants. The Opioid Management Society and the University of Kentucky Colleges of Pharmacy and Medicine Continuing Education Office reserve the right to cancel or make substitutions in this activity. Any individual requiring special physical arrangements or diet to attend this conference should notify the Opioid Management Society at least 3 weeks prior to the conference in writing by faxing to 781-899-4900.