SAVE $79.00
EXPO only REGISTRATION
IS FREE FOR A LIMITED TIME
Register Online Now
www.fimereg.com
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.
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
F. Medical Laboratory
K. Pharmacy
P. Government Agency
B. Imaging Center
G. HME/DME Provider
L. Sub-Acute Care/Nursing Service
Q. Press
C. Integrated Medical Delivery Network
H. Insurance Services HMO/MCO/PPO
M. Long Term Care Facility
R. Technology Provider
D. Group Purchasing Organization
I.
E. Private Medical Practice
J. Manufacturer - Medical Products
O. Financial Services
A. Owner / President / CEO
F. Clinical Engineer
K. Operations Manager
B. General Manager
G. Ima ging Equipment Specialist
L. Sales Manager
C. Physician
H. Biomedical Engineer
M. Information Technology
D. Director
I.
E. Purchasing Manager
J. Marketing Manager
Hospitale/ Clinica
Laboratorio Medico
Centro de Imagen
Laboratorio Medico
Proveedor de HME / DME
Red Integrada de Asistencia Medica
Cuidos Especializados/Enfermeria
Proveedor de HME / DME
Organizacion de Compras
Sector Privado-Medicina
Agencia del Gobierno
Distributor of Medical Products
Instalacion de Cuidado a Largo Plazo
N. Academic Institution
Distribuidor de Productos Medicos
Proveedor de Tecnologia
EHR/ EMS /PHR/PACS /RIS
S. Other
Institucion Academica
Fabricante - Productos Medicos
Prensa
Otro
Servicios de Financiamiento
Position / Title Posición / Cargo
Dueño /Presidente / Vice-President
Ingeniero Clinico
Gerente General
Especialista en equipo de imagen
Doctor
Gerente de Compras
Tecnologia de Informacion
Nurse
N. Government Official
Enfermera
Offical del Gobierno
O. Professor
Gerente de Mercadeo
Medical Product / Service / Interests (check all that apply)
MRI/Radiologia/Ultrasonido
Gerente de Ventas
Ingeniero Biomedico
Director
A. MRI/Radiology/Ultrasound
Gerente de Operaciones
Productos Médicos / Interés en el Campo (marcar todas las que le interesan)
G. Surgical Supplies
Material Quirurgicos
B. Surgical Equipment
H. Surgical Instruments
C. Disposable Medical Products
I.
D. Home/Durable Medical Equiment
Profesor
M. Health Care IT
S. Orthotics/Prosthetics
Cuidado de la Salud Tecnologías de la Información
Ortesis/Protesis
N. Practice Management Systems
T. Infection Control
O. Operating Room Equipment
U. Medical Furniture
J. Autoclaves & Sterilizers
P. Rehabilitation Products
V. Lab Equipment
E. Patient Monitors
K. Pharmacy/e-Prescribing
Q. Ophthalmology Equipment
W. Medical Gas Generation
F. Anesthesia Machines
L. Endoscopy Equipment
R. Respiratory Equipment
X. PACS/Radiology/Enterprise Image
Equipo Quirurgicos
Producto descartable
Equipo Medico Durable
Monitores de Pacientes
Monitores de Pacientes
Instrumentos Quirurgicos
Pharmaceutical Products
Productos Farmaceuticos
Autoclaves y Esterilizadores
Farmacia/Recetas Electronicas
Equipos de Endoscopia
Sistemas de Gestion de Practica
Equipos de sala de Operaciones
Productos de Rehabilitacion
Equipo de Oftalmologia
Equipo Respiratorios
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 7-Track Educational Conference
FIME Conference 2014 featuring seminars presented by leading industry experts. Tracks include:
The Smart Hospital, Intermedcon, Biomedcon, Medisalescon, Clinicon, Medteckcon and Private Practice Con.
Includes admission to the Expo.........................................................................$225.00
Control de Infeccion
Mobilario Medico
Equipo de Laboratorio
Generacion de gases Medicos
Mgmt PACS/Radiologia/Imagen
FIME 2014
M iami B each C onvention C enter
August 6 - 8
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