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Poster Submission APPLICATION METHOD OF PAYMENT Fee: $2,000 per abstract Visa MasterCard American Express Check* Total Amount Charged to Card Card # Expiration Date Security Code Billing Address Name on Card Signature * Please make checks payable to South Beach Symposium South Beach Symposium • 1801 N. Military Trail, Suite 200. Boca Raton, FL 33431 • 561-893-8625 • [email protected] www.southbeachsymposium.org Company Name: Address City State Zip Code Telephone Cell Phone E-mail Contact:
