Secure site registration.


Individual Tickets


$75 Number of Tickets

Guest Name
(MD, DO, RN, Other) 1:

Guest Name
(MD, DO, RN, Other) 2:

Guest Name
(MD, DO, RN, Other) 3:

Guest Name
(MD, DO, RN, Other) 4:

Are you a Circle of Friends member Y/N

If you are a COF member, what is the name of your company?


Billing Info

First Name
Last Name
State Zipcode
Credit Card Type: Mastercard Visa
American Express
Name on Card
Card number
Expiration Date
Security Code

 (3 digit code on back of card) (4 digit code for American Express)


Thank you very much for your purchase for Saturday, March 23, 2019, 8am-5pm.
For more information, please call Brissa Vela, Director of Membership and Special Events
at 210-301-4371 or email at

Please click the Submit button only once.


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