Eastern Orthopaedic Association50th Annual Meeting

October 16-19, 2019 ☼ The Breakers ☼ Palm Beach, FL

Special Guest: New Jersey Orthopaedic SocietyResident Guest Program: Temple University

HOWARD STEEL LECTURERKevin ReillyNFL VeteranAuthor of Tackling Life

PRESIDENTIAL GUEST SPEAKERL. Scott Levin, MD, FACSUniversity of PennsylvaniaSchool of Medicine

www.eoa-assn.org @eoaortho@easternorthopaedicassn

Preliminary Program30.5 CME Credits Available

2019 PROGRAM COMMITTEEThe Eastern Orthopaedic Association gratefullyacknowledges these orthopaedic surgeons for theircontribution to the development of the scientific program:

Anil S. Ranawat, MD, ChairJoshua A. Baumfeld, MDH. John Cooper, MSMarc J. Levine, MDSheldon S. Lin, MDKevin D. Plancher, MDNeil P. Sheth, MDPayam Tabrizi, MD

MISSIONThe Eastern Orthopaedic Association (EOA) wasestablished in 1970 under the leadership of Howard H.Steel, MD and 12 prominent orthopaedic surgeons. Itspurpose is to promote, encourage, foster and advance thehighest quality and most cost effective practice oforthopaedic surgery and matters related thereto byproviding an educational format for the free discussionand teaching of Orthopaedic methods and principlesamong Orthopaedic Surgeons, both member and non-member; and to establish a forum for practicingOrthopaedic Surgeons to update their knowledge andawareness of new techniques, treatment methods, anddevices available for patient care, teaching, and researchby using the most appropriate educational methods.

TARGET AUDIENCEThe 50th Annual Meeting of the Eastern OrthopaedicAssociation has been developed primarily for orthopaedicand trauma surgeons.

CME ACCREDITATIONThis activity has been planned and implemented inaccordance with the accreditation requirements andpolicies of the Accreditation Council for ContinuingMedical Education (ACCME) through the joint providershipof the American Academy of Orthopaedic Surgeons andthe Eastern Orthopaedic Association. The AmericanAcademy of Orthopaedic Surgeons is accredited by theACCME to provide continuing medical education forphysicians.

The American Academy of Orthopaedic Surgeonsdesignates this live activity for a maximum of 30.5 AMAPRA Category 1 Credits™. Physicians should claim only thecredit commensurate with the extent of their participationin the activity.

* 23.5 CME Credits for Scientific Program* 4.75 CME Credits for Scientific E-Poster Sessions* 2.25 CME Credits for Multimedia Education Sessions

CEC CREDITPhysician’s Assistants can receive up to 30.5 credit hourstoward Continuing Education Credits. AAPA acceptsAmerican Medical Association Category I CME credit forthe Physician’s Recognition Award from organizationsaccredited by the ACCME.

PURPOSE1. To provide participants with an objective, unbiased

educational experience that will enable them toremain current in both the knowledge and practicalelements of contemporary orthopaedic surgery.

President’s MessageJohn D. Kelly IV, MDI am humbled to serve as President of the Eastern OrthopedicAssociation, a most unique and collegial regional Orthopaedic Society.The EOA distinguishes itself from other organizations in several ways.

EOA is very family friendly and dedicates considerable energy in ensuring that all scientificand educational offerings end in timely fashion so that attendees spend ample time withloved ones. Spouses of members have considerable input in meeting locale and format sothat leisure time is ensured for all.

Secondly, EOA is a truly ‘resident centric’ organization with a panoply of resident travelgrants and awards. Many academic careers have been catalyzed by a well-received EOAresident presentation. The Eastern Orthopedic Education Foundation (EOEF) is financiallystrong and will help ensure quality programs and resident funding for decades to come.

Finally, the collegiality one experiences as a member of EOA is invaluable. I, for one, havemade innumerable precious friendships only by virtue of my involvement with this specialorganization.

Please make every effort to attend our 50th anniversary meeting Oct 16-19 at the storiedPalm Beach Breakers. Anil Ranawat has been hard at work crafting a world class programreplete with renowned faculty. Our meeting format affords ample time for attendees tointeract with speakers and learn both diagnostic and surgical ‘pearls.’ Attendees will betreated to many ‘rapid fire’ sessions where concise presentations facilitate efficientlearning.

L. Scott Levin will serve as the Presidential Guest Speaker and will convey to the audiencethoughts on the leadership and team building skills necessary to execute the firstsuccessful bilateral hand transplant. Kevin Reilly will deliver the Howard Steel Lecture andwill recount his story on resilience and overcoming adversity. Once a strapping 235 Lb. NFLlinebacker who could bench press 400 lbs, Mr. Reilly’s Pro football career ended suddenlywhen cancer was discovered in his left shoulder. Radical surgery, including amputation ofhis left arm and resection of four ribs, did not stop him from leading a fulfilling andsuccessful life.

My lovely wife Marie continues to work in earnest on a memorable social program whichincludes sensational tours of Palm Beach museums, opportunities for fishing, golf, tennis,a Segway tour, and access to beholding local marine life.

Our beloved past president and Founder, Howard H Steel, will be commemorated with a‘Jersey Style’ Founders’ Dinner complete with ‘Jersey Style’ music and the ingeniouscomedy of ‘New Jersey Bad Boy’ Mike Marino.

EOA is thriving due to the commitment of its board of directors. John McConnell (as usual)has secured incredible exhibitor support, Sam Labib has served honorably and responsiblyas treasurer and Scott Boden continues to serve as an exemplary managing director. JoshBaumfeld has set high aspirational goals for membership, Mike Ast continues to impresswith his technical prowess in ensuring proficient ‘e communication’ to members andCynthia Emory has overseen a very ‘user friendly’ SAE vehicle members may use to fulfill recertification requirements.

It is no surprise that membership retention is high in this ‘family style’ and most uniqueorganization.

Please join the fun in October and make some new friends!

Sincerely

John KellyJohn D. Kelly, IV, MDPresident, Eastern Orthopaedic Association

Accreditation Information

cont. on p. 3

Accreditation Information continuedPresidential Guest SpeakerL. Scott Levin, MD, FACSL. Scott Levin, MD, FACS, is the Paul B. Magnuson Professor of Bone andJoint Surgery (with tenure), Chair of the Department of OrthopaedicSurgery at the University of Pennsylvania School of Medicine, andProfessor of Surgery (Plastic Surgery). He is also the Medical Director of

the Penn Musculoskeletal and Rheumatology Service Line. Dr. Levin is Board-certified inOrthopaedic Surgery and has a Certificate of added Qualification in hand surgery. Inaddition, he is Board-certified in Plastic Surgery and is is responsible for developing the fieldof “Orthoplastic Surgery.”

As an accomplished clinician, his expertise focuses on surgery of the hand and upperextremity, reconstructive microsurgical techniques for extremity reconstruction and limbsalvage. His research interests focus predominantly on extremity soft tissue reconstructionand vascularized composite allotransplantation.

Working collaboratively with colleagues across medical disciplines, Dr. Levin establishedand was the Director of Duke’s Human Tissue Laboratory and also directed the AnatomicGifts Program. He also established a Human Tissue Laboratory at Penn which opened inMay 2011. Dr. Levin heads the Vascularized Composite Allotransplantation (VCA) Programat Penn and directed the teams that performed bilateral hand and arm transplants, one inSeptember 2011 and another in August 2016. In 2015, as Director of the Pediatric HandTransplantation Program of Children’s Hospital of Philadelphia, he led the team thatperformed the world’s first bilateral hand transplant in a child.

Widely published with more than 350 peer-reviewed journal articles, 85 book chapters and11 books, Dr. Levin also actively participates in senior leadership activities of manyinternational and national professional societies and associations.

2. To provide participants with a detailed, in deptheducation of selected topics relevant to the practiceof orthopaedic surgery.

3. To allow participants to assess potential deficienciesin their knowledge base pertaining to the practice oforthopaedic surgery.

4. To present ample opportunities for participants toexchange ideas with the presenters, the faculty andother enrollees through paper presentations, guestlectureships, symposia, multimedia educationalsessions and poster exhibits.

OBJECTIVESEducational objectives will be met through a combinationof paper presentations, lectures and workshops inplenary, concurrent and specialty sessions with ampletime afforded for open discussion. The followingobjectives will be addressed during the ScientificProgram, such that at the conclusion of this course theattendees will be expected to:

1. Improve their diagnostic, treatment and technicalskills in the management orthopaedic afflictions byassimilation of scientific advances.

2. Discuss basic science paradigms as they relate totreatment advances.

3. Understand some of the basic principals in practicemanagement.

4. Critically assess emerging trends in orthopaedicmedicine and evaluate their evidence basis.

DISCLAIMERThe products, procedures and opinions presented at thismeeting reflect the viewpoint or approach of thepresenter only and are not to be attributed to the EasternOrthopaedic Association. The Eastern OrthopaedicAssociation presents such material for informationalpurposes only and does not endorse any such product orthe content of any such presentation.

FORMATThe educational sessions will be held Thursday, Friday andSaturday, October 17-19, from approximately 7:00 amuntil 2:00 pm.

SCIENTIFIC E-POSTER SESSIONSScientific E-Posters are an important feature of the EOAAnnual Meeting. E-Posters will be on display each day ofthe Scientific Program and E-Poster presenters will beavailable to answer questions before and after theScientific Program Sessions. Please note on theScientific Program Schedule the designated times theE-Poster presenters will be available for discussion.

MULTIMEDIA EDUCATION SESSIONSThe EOA will provide multimedia education sessions dailyafter the Scientific Program on Thursday, Friday andSaturday, October 17-19. A comprehensive selection ofAAOS DVDs will be available for your individualeducation. These DVDs will highlight surgical proceduresand current concepts in Orthopaedics. Registeredattendees should find these DVDs informative and helpfulin their practice.

PHYSICIAN REGISTRATION FEERegistration covers the Scientific Program, Syllabus,Multimedia Educational Sessions, Poster Sessions, DailyContinental Breakfasts and Coffee Breaks, GeneralMeeting Expenses, the Welcome Dinner, ExhibitorReception and the Jazz Band Reception/Founders’ DinnerDance.

Howard Steel LecturerKevin ReillyKevin Reilly was born in Wilmington, Delaware. From early childhood,he was recognized as an exceptional athlete. Kevin’s naturalleadership skills and athletic abilities secured him a full athleticscholarship to Villanova University. In 1973, the World Champion

Miami Dolphins drafted Kevin in the seventh round. Later that year, he returned to hishometown team of the Philadelphia Eagles, serving as captain of the special teams.

In 1975, Kevin’s NFL career was cut short when he was diagnosed with a rare desmoidtumor. To halt the spread of cancer, Kevin’s left arm, most of his shoulder and four ribs wereamputated. He was told he’d never be able to tie his shoes or a tie, much less play sports.He didn’t listen.

After retiring from the NFL, Kevin worked as a Senior Executive in Sales and Marketing atthe Xerox Corporation. A qualified peer visitor at the Walter Reed National Army MedicalCenter in Washington, D.C., he offers counseling to veteran amputees.

Kevin hosts the pre-game and post-game radio show for all Philadelphia Eagles games liveon 94.1 WYSP-FM, Sports Radio 610WIP-AM and WDEl. He never gave up sports altogether– he is an avid runner and golfer, two of the many things people told him would beimpossible after his surgery.

In addition to his announcing duties, Kevin is a Board member with the Easter Sealsnonprofit charitable organization. He lends his talents to numerous charities and is anauctioneer for over a dozen auctions for various charities each year. After discovering howto overcome the challenges in his life, he works as a motivational speaker, delivering hisinspirational message to audiences.

Schedule of Events | Events, dates & times are subject to change.

Wednesday, October 1610:45 am – 11:45 am President’s Council Meeting

12:00 pm – 5:00 pm Meeting Registration

12:00 pm – 5:00 pm Sponsor/Exhibit Setup

12:00 pm – 5:00 pm Board of Directors Meeting

2:30 pm – 3:30 pm Social Committee Meeting

Thursday, October 176:15 am – 5:10 pm Meeting Registration

6:15 am – 5:10 am Technical Exhibits, Continental Breakfast, Coffee Breaks and Daily Drawing

6:45 am – 7:00 am First Business Meeting

7:56 am – 8:26 am Focused Brunch Presentation *CME Credit Not AvailableHeron TherapeuticsPrice: Included in Registration Fee

8:00 am Early Bird WalkPrice: Included in Registration Fee

9:00 am – 10:30 am Spouse/Guest & Child HospitalityEnjoy a continental breakfast with old friends and new. A presentation willbe given by the Howard Steel Speaker, Kevin Reilly.Price: Free for Registered Guests and Children or $40 per Adult / $20 per Child (5-17 years old)

10:45 am – 12:45 pm History/Garden Tour of The BreakersThis exclusive tour takes you through the resort to learn the history and soak in the grandeur of this century-oldlandmark. Along the way, learn stories about former guests and legends that have graced the halls. Then, it’s onto thegardens where you will tease your senses with the unforgettable fragrancesof jasmine, orchids and honeysuckle. You will learn about the manyvarieties of plants and flowers that grace this magnificent resort, as well astour the herb garden where the chefs select fresh flavors for each meal.Price: $70 per person (minimum 10 people)

12:06 pm – 12:36 pm Focused Lunch Presentation *CME Credit Not AvailableJohnson & Johnson Medical Device CompaniesPrice: Included in Registration Fee

2:15 pm – 4:45 pm Segway TourThe tour rolls through the city of West Palm Beach, along the waterfront and over the bridge to Palm Beach Island. Itcombines the thrill of riding the “coolest machine in the world” with the excitement of seeing one of the most exclusiveareas in the world – a perfect balance between fun and adventure with dashes of interesting facts along the way. Seebeautiful scenery and breathtaking landmarks as you effortlessly glide along on your own self-balancing personaltransporter. Experienced guides will keep you entertained, laughing and safe along the way. No experience necessary,it’s easy to learn within minutes!Price: $109 per person (minimum 8 people)

6:00 pm – 7:00 pm New Member ReceptionAll new EOA Members are invited to attend this reception, where the EOA Board and other leadership will take theopportunity to welcome you to the organization.Attire: Resort CasualPrice: Included in Registration Fee

7:00 pm – 9:30 pm Welcome DinnerHave a wonderful evening with family and friends, enjoying the shimmerof the sunset over the tranquil Atlantic Ocean with delicious food anddrinks.Attire: Resort CasualPrice: Included in Registration Fee / $100 Unregistered Adult Guest / $50Unregistered Child

Friday, October 186:30 am – 1:20 pm Meeting Registration

6:45 am – 1:20 pm Technical Exhibits, Continental Breakfast, Coffee Breaks and DailyDrawing

7:56 am – 8:26 am Focused Brunch Presentation *CME Credit Not AvailableConvaTecPrice: Included in Registration Fee

8:00 am Early Bird WalkPrice: Included in Registration Fee

9:00 am – 10:00 am Spouse/Guest & Child HospitalityEnjoy a cup of coffee with old friends and new.Price: Free for Registered Guests and Children or $40 per Adult / $20 per Child (5-17 years old)

9:30 am Book Discussion“Tackling Life” by Kevin ReillyPrice: Included in Registration Fee

12:12 pm – 12:42 pm Focused Lunch Presentation *CME Credit Not AvailableFlexion TherapeuticsPrice: Included in Registration Fee

12:30 pm – 3:30 pm West Palm Beach Food TourExpect a delicious blend of food, history, culture and fun! Eat, drink anddiscover Downtown West Palm Beach. This unique, small tour experience is designed to connect guests with local foodsand the chefs who prepare them. Food tourism is currently the #1 trend in travel, so join in and find out what all thebuzz is about! One mile of easy walking with plenty of air-conditioned stops along the way.Price: $95 per person / $110 per person for Cocktail Package (minimum 10 people)

12:40 pm – 5:30 pm FishingYou’ll be fishing in Sailfish Alley, the closest point to the Gulf Stream in Florida. Be on the lookout for kingfish, wahoo,pompano, dolphin, amberjack and sailfish. *Eat during the Focused Lunch Presentation.Price: $355 per person (Minimum 6 people. Dry snacks, beer, soda and water included.)

1:00 pm – 6:00 pm Golf Tournament (1:15 pm Tee Time) In 2018, this ocean course emerged from a full-scale renovation byrenowned golf course architect Rees Jones. The course offers anextraordinary golf experience for all levels of players that honors itsheritage and seaside location with contemporary playability. A richvariety of contours, shapes and depths, along with all-new salt-tolerantgrass and unique water features, help bring the course to an exciting andchallenging new level. The tournament will be a 1:15 pm shotgun startwith scramble format. *Eat during the Focused Lunch Presentation.Price: $189 per person (includes green fees, beverage cart and prizes)

1:30 pm – 4:30 pm Resident Program

2:00 pm – 3:30 pm Tennis Round Robin3.5 USTA rating or betterPrice: $40 per person (Minimum 20 participants)

4:30 pm – 5:30 pm Resident Networking ReceptionPrice: Included in Registration Fee

5:30 pm – 7:30 pm Exhibitor ReceptionBefore you go to dinner, start your evening off with drinks and horsd’oeuvres with EOA.Price: Free for Registered Guests or $75 per Adult

5:30 pm – 7:30 pm Kids’ Movie Party with Arts & CraftsWhile parents are at the Exhibitor Reception, kids enjoy dinner and craftsor a movie with friends. Children younger than 5 must be accompanied byan adult. *This is not a babysitting service, but is provided only for parents attending the Exhibitor Reception.Price: Free for Registered Children or $25 per Child

Schedule of Events | Events, dates & times are subject to change.

Saturday, October 196:15 am – 2:00 pm Meeting Registration

6:15 am – 2:00 pm Technical Exhibits, Continental Breakfast, Coffee Breaks and DailyDrawing

6:45 am – 7:00 am Second Business Meeting

7:56 pm – 8:26 pm Focused Brunch Presentation *CME Credit Not AvailableZimmer BiometPrice: Included in Registration Fee

8:00 am Early Bird WalkPrice: Included in Registration Fee

9:00 am – 10:00 am Spouse/Guest & Child HospitalityEnjoy a cup of coffee with old friends and new.Price: Free for Registered Guests and Children or $40 per Adult / $20 per Child (5-17 years old)

9:30 am Party BridgeAll levels welcome!Price: Included in Registration Fee

11:42 am – 12:12 pm Focused Lunch Presentation *CME Credit Not AvailableMedtronicPrice: Included in Registration Fee

2:00 pm – 4:30 pm Loggerhead Marine Life CenterThe tour takes you behind the gates of the outdoor sea turtle hospital to get up close and personal with its patients.Established in 1983, the Loggerhead Marine Life Center focuses on research, rehabilitation, education and conservationfor threatened and endangered sea turtles and their ecosystems. Its facilities include exhibit areas with live sea turtlesand other coastal creatures.Price: $13 per person without transportation / $45 per person transportation (minimum 5 people)

2:10 pm – 3:10 pm Industry Workshop - 3M

2:30 pm – 4:30 pm Flagler Museum Guided TourWhitehall, home of Henry Flagler, is one of the most prestigious homes inall of America. Completed in 1902, this estate was Flagler's weddingpresent to his third wife, Mary Lily Kenan. This tour of the private mansion,restored to its original glory and steeped in history and grand tradition,will take you back in time.Price: $14 per person without transportation / $35 per person withtransportation (minimum 20 people)

6:15 pm – 11:00 pm Jazz Reception & Founders’ DinnerYou’re in for an exciting night, beginning with a very special dinner and reception with music from none other than ourown EOA Jazz Band, playing “Jersey-style” music in memory of Dr. Howard Steel. After, kick back and sing along to somefavorite tunes with the Atlantic City Boys – a world-class quartet with a classic rock’n’roll energy, who’ve performed hitsfrom the Rat Pack to the Beatles while sharing the stage with the likes of Huey Lewis, Patti Labelle and The Temptations.Then, let loose and laugh with “New Jersey’s Bad Boy,” actor and comic Mike Marino.Attire: Black Tie optionalPrice: Included in Registration Fee / $150 per unregistered adult guest and $95 surcharge per child (5-17 years)

6:15 pm – 11:00 pm Kids’ Movie Party with Arts & CraftsWhile your parents are at the Jazz Reception and Founders’ Dinner Dance, enjoy dinner and crafts or a movie with yourfriends. (Children younger than 5 must be accompanied by an adult. This is not considered a babysitting service and isprovided only for parents attending the Jazz Reception & Founders’ Dinner.)Price: Included in Registration Fee / $25 per unregistered child (5-17 years)

Schedule of Events | Events, dates & times are subject to change.

Hotel & Travel Information

The BreakersNow in its second century, The Breakers Palm Beach continues the tradition of excellence begun by its founder, Henry Morrison Flagler, in1896. It features a half-mile of private beach, five oceanfront pools and four whirlpool spas, as well as 25 luxury beach bungalows. Theoceanfront spa features masterful treatments, services and spa fitness classes, along with two fitness centers. Also available to guests are 36holes of championship golf, including The Breakers Rees Jones® Course, and ten lighted Har-Tru tennis courts. The Breakers also features aFamily Entertainment Center and the Coconut Crew Kids’ Camp.

Hotel Reservation InformationDiscounted room rate deadline: September 24, 2019Call The Breakers at 800-273-2537 and mention you are attending the EOA Annual Meeting. Space is limited, so make your reservation early!

Room RatesDeluxe King Room $325Premium Room $400Oceanfront View Room $550

Confirmation: A hotel confirmation will be sent to you upon receipt of your request.Guarantee Policy: All reservations require a credit card for guarantee. A deposit equal to one night’s room and tax will be charged.Room Cancellations: All room cancellations must be made 72 hours prior to the reservation. Cancellations must be made in writing, and youshould receive a cancellation number.

Travel InformationPalm Beach International Airport (PBI) is the primary airport, located only 15 minutes away from the Breakers. Taxi service is approximately $25,one way. For limo service, contact Palm Beach Tours and Transportation at 561-655-5515, or visit info@pbtt.com, and mention the EOA for aspecial rate.

If you would like to rent a car, Hertz discounts are available by calling 800-654-2240 and referencing CV #04B00011, or visitingwww.hertz.com (under the reservation form, click the box next to “Enter a Discount or Promo Code” and enter #04B00011 in the Conventionfield). Valet parking is $30 per night.

CANCELLATION POLICY: Full refund (less $50.00 administrative fee) will be granted if acancellation is made prior to 10 business days before the meeting date; a 50% refund if canceledbetween 5 and 10 business days before the meeting date. No refund will be granted within 5business days of the meeting, or anytime thereafter.

Tour/Activity Ticket Cancellation Policy: Full refund will be granted if a cancellation is madeprior to 30 business days before the meeting date. No refund will be guaranteed within 30business days of the meeting. EOA will attempt to sell unwanted tickets on a first-come, first-served basis. If EOA successfully sells your unwanted ticket, you will receive a full refund of theticket cost. EOA reserves the right to cancel an activity if the minimum number of participantshas not purchased tickets prior to 30 business days before the meeting date.

______________________________________________________________________________________Name Degree Sub-Specialty

______________________________________________________________________________________Company/Institution Department

______________________________________________________________________________________Address City State ZIP

______________________________________________________________________________________Office Phone Email Address

Qty Registrant Category Fee

New 2019 EOA Member No Charge

EOA Member Physician $695

NJOS Member $695

Moderator/Presenter $695

Non Member Physician $995

Emeritus Member $400

Active Military $200

Allied Health Professional $300

Resident/Fellow $150

Medical Student $150

Qty Tours/Activities FeeHistory & Garden Tour of The Breakers - Thu 10/17 ($70)Segway Tour - Thu 10/17 ($109)West Palm Beach Food Tour - Fri 10/18 ($95) No Cocktails

West Palm Beach Food Tour - Fri 10/18 ($110) Cocktails

Fishing - Fri 10/18 ($355)Golf Tournament - Fri 10/18 ($189)Tennis Round Robin - Fri 10/18 ($40)Loggerhead Marine Life Center - Sat 10/19 ($13)Transportation on your own

Loggerhead Marine Life Center - Sat 10/19 ($45)Transportation included

Flagler Museum Guided Tour - Sat 10/19 ($14)Transportation on your own

Flagler Museum Guided Tour - Sat 10/19 ($35)Transportation included

Physician/Allied Health Registration Fee $_______Guest Registration Fees $_______

Unregistered Guest Event Fees $_______Tours/Activities Fees $_______

TOTAL $_______

Please provide the information below for each of your Adult guestsso we can include their name badges in your registration packet.(Registered children (5-17) will receive a wristband.)

_______________________________________________________________________Spouse/Guest Name City State

_______________________________________________________________________Guest Name City State

________________________________________________________________________Guest Name City State

________________________________________________________________________Spouse/Guest Email Address for Meeting Updates

◊ Check Enclosed (payable to Eastern Orthopaedic Association)◊ Charge my: ◊ Visa ◊ MasterCard ◊ American Express___________________________________________________________ _____________ ______Credit Card Number Expiration Date CVV

___________________________________________________________________________________Name on Card

___________________________________________________________________________________Billing Address City State ZIP

Qty Unregistered Guest Events FeeSpouse/Guest/Child Hospitality - Adult ($40) ThuSpouse/Guest/Child Hospitality - Child 5-17 ($20) ThuWelcome Dinner - Adult ($100)Welcome Dinner - Child 5-17 ($50)Spouse/Guest/Child Hospitality - Adult ($40) FriSpouse/Guest/Child Hospitality - Child 5-17 ($20) FriExhibitor Reception - Adult ($75)Kids’ Movie Night on Friday ($25)Spouse/Guest/Child Hospitality - Adult ($40) SatSpouse/Guest/Child Hospitality - Child 5-17 ($20) SatFounders’ Dinner - Adult ($150)Kids’ Movie Night on Saturday ($25)Child Surcharge - Founders’ Dinner ($75)

Physician/Allied Health Registration Fee Includes: Scientific Sessions,E-Poster Sessions, Multimedia Sessions, Symposia, Continental Breakfasts, Workshops,Breaks, Welcome Dinner, Exhibitor Reception, and the Jazz Reception & Founders’Dinner.

Spouse/Guest Registration Fee Includes: Spouse/Guest/Child Hospitality onThursday, Friday and Saturday mornings, Welcome Dinner, Exhibitor Reception, and theJazz Reception & Founders’ Dinner.

Child Registration Fee Includes: Spouse/Guest/Child Hospitality on Thursday, Fridayand Saturday mornings, Welcome Dinner, and the Kids’ Movie Nights on Friday andSaturday.

Annual Meeting Registration FormEastern Orthopaedic Association's 50th Annual Meeting

October 16-19, 2019 ☼ The Breakers ☼ Palm Beach, FLwww.eoa-assn.org ☼ Phone: 866-362-1409 ☼ Fax: 410-494-0515

Qty Guest Category FeeSpouse/Guest (18+) $225

Child(ren) 5-17 years $35Child(ren) under 5 years No Charge

ONLY complete the section below for UNREGISTERED spouses, guests andchildren who wish to attend the events.These events are already included for registered spouses, guests and children.