FIME 2013 PreShow Planner August, 2013 | Page 36

SAVE $ 79.00

EXPO only REGISTRATION IS FREE FOR A LIMITED TIME

Attendee Information Informacion del Participante
Please fill out the form completely. One form per Registrant. Copies accepted. Por Favor, de llenar el formulario completo. Un formulario por participante. Se aceptan fotocopias.

Register Online Now www. fimereg. com

First Name Last Name Telephone Number Fax Number
Company Name Job Title Email Address
Address City State Zip or Postal Code Country
Business Category( check one that best describes) Clase de Negocio( marque lo que describa major)
A.
Hospital / Clinic Hospitale / Clinica
F.
Medical Laboratory Laboratorio Medico
K.
Pharmacy Laboratorio Medico
P.
Government Agency Agencia del Gobierno
B.
Imaging Center Centro de Imagen
G.
HME / DME Provider Proveedor de HME / DME
L.
Sub-Acute Care / Nursing Service Cuidos Especializados / Enfermeria
Q.
Press Prensa
C.
D.
E.
Integrated Medical Delivery Network Red Integrada de Asistencia Medica
Group Purchasing Organization Organizacion de Compras
Private Medical Practice Sector Privado-Medicina
H.
I.
J.
Insurance Services HMO / MCO / PPO Proveedor de HME / DME
Distributor of Medical Products Distribuidor de Productos Medicos
Manufacturer- Medical Products Fabricante- Productos Medicos
M. Long Term Care Facility Instalacion de Cuidado a Largo Plazo
N. Academic Institution Institucion Academica
O. Financial Services Servicios de Financiamiento
R.
S.
Technology Provider Proveedor de Tecnologia EHR / EMS / PHR / PACS / RIS
Other Otro
Position / Title Posición / Cargo
A.
Owner / President / CEO Dueño / Presidente / Vice-President
F.
Clinical Engineer Ingeniero Clinico
K.
Operations Manager Gerente de Operaciones
B.
General Manager Gerente General
G.
Imaging Equipment Specialist Especialista en equipo de imagen
L.
Sales Manager Gerente de Ventas
C.
Physician Doctor
H.
Biomedical Engineer Ingeniero Biomedico
M.
Information Technology Tecnologia de Informacion
D.
Director Director
I.
Nurse Enfermera
N.
Government Official Offical del Gobierno
E.
Purchasing Manager Gerente de Compras
J.
Marketing Manager Gerente de Mercadeo
O.
Professor Profesor
Medical Product / Service / Interests( check all that apply) Productos Médicos / Interés en el Campo( marcar todas las que le interesan)
A.
B.
C.
D.
E.
F.
MRI / Radiology / Ultrasound MRI / Radiologia / Ultrasonido
Surgical Equipment Equipo Quirurgicos
Disposable Medical Products Producto descartable
Home / Durable Medical Equiment Equipo Medico Durable
Patient Monitors Monitores de Pacientes
Anesthesia Machines Monitores de Pacientes
Exposition
Expo only Early Bird Registration until July 21................................. FREE Expo only Registration after July 21...............................................$ 49.00 Expo only Registration after August 3............................................$ 79.00
FIME 6-Track Educational Conference
G.
H.
I.
J.
K.
L.
Surgical Supplies Material Quirurgicos
Surgical Instruments Instrumentos Quirurgicos
Pharmaceutical Products Productos Farmaceuticos
Autoclaves & Sterilizers Autoclaves y Esterilizadores
Pharmacy / e-Prescribing Farmacia / Recetas Electronicas
Endoscopy Equipment Equipos de Endoscopia
FIME Conference 2013 featuring seminars presented by leading industry experts. Tracks include: Intermedcon, Biomedcon, Medisalescon, Clinicon, Medteckcon and Private Practice Con. Includes admission to the Expo.........................................................................$ 175.00
35 PreShow Planner | fimeshow. com
M. Nuclear Imaging Medicina Nuclear
N. Practice Management Systems Sistemas de Gestion de Practica
O. Operating Room Equipment Equipos de sala de Operaciones
P. Rehabilitation Products Productos de Rehabilitacion
Q. Ophthalmology Equipment Equipo de Oftalmologia
R. Respiratory Equipment Equipo Respiratorios
S. Orthotics / Prosthetics Ortesis / Protesis
T. Infection Control Control de Infeccion
U. Medical Furniture Mobilario Medico
V. Lab Equipment Equipo de Laboratorio
W. Medical Gas Generation Generacion de gases Medicos
X. PACS / Radiology / Enterprise Image Mgmt PACS / Radiologia / Imagen

FIME 2013 Miami Beach Convention Center August 7- 9

Register Online at www. fimereg. com
Don’ t have internet access? Mail or Fax completed form Fax:( 941) 366-9861
Mailing address: FIME Executive Offices 3348 Seventeenth Street, Sarasota, FL 34235 USA