Integrative Regen Group 2021 Sponsorship Early Registration Attendee InfoCompanySponsor Contact* Mr.Mrs.MissMs.Dr.Prof. Prefix First Last Suffix Email* Phone*Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country WorkshopWorkshop Agenda Coming 2021Select AM WorkshopPlease selectIntroduction to Ultrasound Guided Joint Injections ($600.00)PRP for Sexual Dysfunction and Aesthetics ($600.00)Select PM WorkshopPlease selectAdvanced Ultrasound Guided Joint Injections ($600.00)Functional Genomics and Sex HormonesMain Conference Conference Registration Coming 2021Student Registration(Only 15 Available) Price: $185.00 Quantity: Early Bird Registration(Available until December 22, 2019) Price: $445.00 Quantity: Standard Registration Price: $595.00 Quantity: Optional: Sponsorship Registration 2021Sponsorship RegistrationPlease selectPlatinum ($10000)Gold ($7000)Silver ($5500)Bronze ($3000)Optional: Meal & Cocktail Sponsorship 2021Breakfast SponsorshipPlease selectBreakfast 1 Day ($1000)Breakfast 2 Days ($2000)Lunch SponsorshipPlease selectLunch 1 Day ($1000)Lunch 2 Days ($2000)Cocktail SponshorshipPlease selectCocktail Hour ($300)Additional Attendee Name(s) (For exhibit personnel)Promo Code* *Promo codes not valid for student registration and will void registrationTotal $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Terms & ConditionsIntegrative Regen Group LLC Terms of Service 1. TermsBy accessing the website at https://intregengroup.com, you are agreeing to be bound by these terms of service, all applicable laws and regulations, and agree that you are responsible for compliance with any applicable local laws. If you do not agree with any of these terms, you are prohibited from using or accessing this site. The materials contained in this website are protected by applicable copyright and trademark law. 2. Use LicensePermission is granted to temporarily download one copy of the materials (information or software) on Integrative Regen Group LLC's website for personal, non-commercial transitory viewing only. This is the grant of a license, not a transfer of title, and under this license you may not: - modify or copy the materials; - use the materials for any commercial purpose, or for any public display (commercial or non-commercial); - attempt to decompile or reverse engineer any software contained on Integrative Regen Group LLC's website; - remove any copyright or other proprietary notations from the materials; or - transfer the materials to another person or "mirror" the materials on any other server. This license shall automatically terminate if you violate any of these restrictions and may be terminated by Integrative Regen Group LLC at any time. Upon terminating your viewing of these materials or upon the termination of this license, you must destroy any downloaded materials in your possession whether in electronic or printed format.3. DisclaimerThe materials on Integrative Regen Group LLC's website are provided on an 'as is' basis. Integrative Regen Group LLC makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties including, without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property or other violation of rights. Further, Integrative Regen Group LLC does not warrant or make any representations concerning the accuracy, likely results, or reliability of the use of the materials on its website or otherwise relating to such materials or on any sites linked to this site. 4. LimitationsIn no event shall Integrative Regen Group LLC or its suppliers be liable for any damages (including, without limitation, damages for loss of data or profit, or due to business interruption) arising out of the use or inability to use the materials on Integrative Regen Group LLC's website, even if Integrative Regen Group LLC or a Integrative Regen Group LLC authorized representative has been notified orally or in writing of the possibility of such damage. Because some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages, these limitations may not apply to you. 5. Accuracy of materialsThe materials appearing on Integrative Regen Group LLC website could include technical, typographical, or photographic errors. Integrative Regen Group LLC does not warrant that any of the materials on its website are accurate, complete or current. Integrative Regen Group LLC may make changes to the materials contained on its website at any time without notice. However Integrative Regen Group LLC does not make any commitment to update the materials. 6. LinksIntegrative Regen Group LLC has not reviewed all of the sites linked to its website and is not responsible for the contents of any such linked site. The inclusion of any link does not imply endorsement by Integrative Regen Group LLC of the site. Use of any such linked website is at the user's own risk. 7. ModificationsIntegrative Regen Group LLC may revise these terms of service for its website at any time without notice. By using this website you are agreeing to be bound by the then current version of these terms of service. 8. Governing LawThese terms and conditions are governed by and construed in accordance with the laws of Arizona and you irrevocably submit to the exclusive jurisdiction of the courts in that State or location. 9. 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