December 12 - 17, 1999Davos, Switzerland
Registration is limited. Do not consider yourself registed in
course until official confirmation is received. Registration will not be accepted unless tuition fees are included with registration form.
AO Course Secretariat
Phone: 41 81 414 27 20
Fax: 41 81 414 64 26
or you can complete this form and submit online using a credit card:
A check can be sent with the registration form. Please advise
your bank to indicate your name on the payment check. You can also choose to make a bank transfer:
Bank: Credit Suisse 7270, Davos-Platz
Acc. No. 518.000-41-7/Bank code. 0187
Registration fee is $385.00. Fee includes all course and lab materials,
continental breakfasts, lunch on first day and refreshments.
Refunds (less $100.00 administration fee) will be issued if written
cancellation notice is received by November 15, 1999.
Applications will not be accepted unless the Course tuition fees are
included with the registration form.
Social Security Number:
Number of years in practice:
Mailing address: Home Phone:
APPLICATIONS WILL NOT BE ACCEPTED UNLESS TUITION FEES
ARE INCLUDED WITH THE REGISTRATION FORM.
If you need further assistance, please
Card Number: Signature
(if mailing or faxing form):
Have you ever attended an AO ASIF Course? If so, which one?
Spine Course applicants please respond:
How many spine osteosynthesis have you performed?
Less than 60
More than 60
Are you an Orthopaedic surgeon or neurosurgeon with specialized practice?
Maxillofacial Course applicants indicate surgical specialty:
Oral and Maxillofacial
Do you have any special needs:
Complex Problems (choose one):
Choice 1: Systems of Trauma Care
Choice 2: The Reliability of Outcome Studies
Choice 3: Limb Salvage - How far can bionics go?
Spine Comprehensive Course
Spine Interactive Course