Johns Hopkins Medicine: A Woman's Journey Registration

RSVP for A Woman's Journey

Reserve your place today for the sessions of your choice. Learn about new medical discoveries, new treatments and more.

Please note: None of the information you enter below will be saved, nor will it be transmitted to Johns Hopkins or any other party via the Internet. Simply fill out this form on your computer and print it. Registration is by mail only and all fees are payable by check only.

The fee for A Woman's Journey^smis $50 per person, including continental breakfast, lunch and handouts. A special fee of $35 is offered to full-time matriculating students who provide a copy of their ID. Hotel parking is available for $10. The Sheraton Inner Harbor also is accessible via subway and light rail. For your convenience, we have arranged round-trip transportation from Bethesda and Lutherville. Click here for information on transportation and lodging.

Complete the information below, print the pages, and mail the form with your check, payable to A Woman's Journey, to:

A Woman's Journey
Johns Hopkins Medicine
Phipps 126
600 N. Wolfe Street
Baltimore, MD 21287

For more information, call 410-955-8660 or e-mail awomansjourney@jhmi.edu

Registration must be received by November 3, 2000.

YES! I will join you for A Woman's Journey, Saturday, November 11, 2000

Name:

Address:

City:

State:
Zip:

Phone:

Date of Birth: (optional)

E-mail address

Organization Affiliation:

Indicate the items that apply and indicate quantity

Cost Quantity Total

Event Fee    $50 per person

Students with ID    $35 per student

Parking    $10 per car

Shuttle from Suburban Hospital    $20 per person

Shuttle from Green Spring Station    $10 per person

Select your seminar topics

Indicate selection by using letter code of each topic as indicated on the schedule page.

1st Choice 2nd Choice 3rd Choice

Session I

Session II

Session III

Session IV

Spaces in each session will be filled in the order responses are received. We will try to accommodate all first-choice requests.

If you would like to bring guests, please list their names, addresses and topic choices here:

Guest Name:

Address:

City:

State:
Zip:

Phone:

Date of Birth: (optional)

E-mail address

Organization Affiliation:

Guest choices

1st Choice 2nd Choice 3rd Choice

Session I

Session II

Session III

Session IV

You will receive confirmation of your seminar choices. If you prepay for parking, a voucher that can be used to exit the hotel's garage will accompany your confirmation card.