RSA INNOVATION SYMPOSIUM 2023 REGISTRATION PAGE 2023 RSA Innovation Symposium ~ Dublin, Ireland "*" indicates required fields RSA INNOVATION SYMPOSIUM 2023: Key Innovations You Should Be Using Now • June 29 - July 2, 2023 (Thursday - Sunday) Registration Fee Includes: • Admittance to RSA INNOVATION SYMPOSIUM 2023 as Described on Final Agenda • Symposium Badge & Materials • Refreshments & Receptions as Described on Final Agenda The RSA INNOVATION SYMPOSIUM 2023 begins on Thursday evening, June 29, 2023, at 7:00 PM with a cocktail reception and concludes Sunday, July 2, 2023, at approximately 11:00 AM. Conference Fee is Paid In-Full at Time of Registration. Due to the Advance Commitments Required, Registration is Non-Refundable. Registrations are Non-Transferable. Register Today! RSA MEMBER REGISTRATION - I PLAN TO ATTEND!* RSA MEMBER OPHTHALMOLOGIST........€350 Euro / $395 USD RSA MEMBER OPHTHALMOLOGIST (1-5 Yrs in Practice)........€175 Euro / $198 USD RSA MEMBER RESIDENT/FELLOW........€100 Euro / $113 USD RSA MEMBER OPTOMETRIST........€175 Euro / $198 USD RSA MEMBER OPTOMETRIST (1-5 Yrs in Practice)........€100 Euro / $113 USD RSA MEMBER EXECUTIVE........€175 Euro / $198 USD RSA MEMBER TECHNICIAN........€100 Euro / $113 USD RSA MEMBER CHARITABLE ORG........€100 Euro / $113 USD RSA MEMBER ACTIVE DUTY MILITARY........€100 Euro / $113 USD FULL NAME & CREDENTIALS:* First Last Suffix PERSONAL EMAIL:* Enter Email Confirm Email PERSONAL CELL PHONE NUMBER:*We use your cell phone number in the unlikely event we must reach you during the event. PRACTICE NAME:* Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands DO YOU HAVE A FOOD ALLERGY OR DIETARY RESTRICTION WE SHOULD BE AWARE OF?* No YES! PLEASE DESCRIBE YOUR FOOD ALLERGY OR DIETARY RESTRICTION:* DO YOU HAVE A DISABILITY WE SHOULD BE AWARE OF?* No YES! PLEASE DESCRIBE YOUR DISABILITY:* TOTAL CONFERENCE PARTICIPATION FEE: METHOD OF PAYMENT* Credit Card Credit Card*Card Details Cardholder Name NameThis field is for validation purposes and should be left unchanged. Δ Return to Upcoming Events Page
