ISPOR 17th Annual European Congress 8-12 November 2014, Amsterdam RAI, Amsterdam, The Netherlands FIRST Name LAST NAME Degrees REGISTRATION FORM Member ID# position organization mailing Address City State Zip Country Telephone FaxEMAIL ISPOR provides attendee mailing labels to exhibitors for this event. Phone number/email address are not included. If you would like to opt out of these mailings, check here q Pre-CONGRESS Short CoursesTHRu 16 september 2014 AFTER 16 september 2014fee SATURDAY, 8 NOVEMBER All Day Course 9:00-18:00 Regular: 300€ (US$414) Student: 150€ (US$207) Regular: 400€ (US$552) Student: 200€ (US$276) q INTRODUCTION TO HEALTH ECONOMIC / PHARMACOECONOMIC EVALUATIONS $ ________________ Morning Courses 9:00-13:00 Regular: 150€ (US$207) Student: 75€ (US$104) Regular: 200€ (US$276) Student: 100€ (US$138) q INTRODUCTION TO DATABASE ANALYSIS OF OBSERVATIONAL STUDIES OF TREATMENT EFFECTS $ ________________ q INTRODUCTION TO PATIENT-REPORTED OUTCOMES ASSESSMENT: INSTRUMENT DEVELOPMENT & EVALUATION $ ________________ q INTRODUCTION TO MODELING $ ________________ q STATISTICAL METHODS FOR PHARMACOECONOMICS & OUTCOMES RESEARCH $ ________________ q COST-EFFECTIVENESS ANALYSIS ALONGSIDE CLINICAL TRIALS $ ________________ q ELEMENTS OF PHARMACEUTICAL / BIOTECH PRICING $ ________________ Afternoon Courses 14:00-18:00 Regular: 150€ (US$207) Student: 75€ (US$104) Regular: 200€ (US$276) Student: 100€ (US$138) q INTRODUCTION TO HEALTH TECHNOLOGY ASSESSMENT (HTA) $ ________________ q META-ANALYSIS & SYSTEMATIC LITERATURE REVIEW $ ________________ q USE OF PROPENSITY SCORES IN OBSERVATIONAL STUDIES OF TREATMENT EFFECTS $ ________________ q INTRODUCTION TO PATIENT PREFERENCE METHODS USED FOR QALYS $ ________________ q PHARMACOECONOMIC MODELING – APPLICATIONS $ ________________ q RISK-SHARING / PERFORMANCE-BASED ARRANGEMENTS FOR DRUGS AND OTHER MEDICAL PRODUCTS $ ________________ SUNDAY, 9 NOVEMBER All Day Course 8:00-17:00 Regular: 300€ (US$414) Student: 150€ (US$207) Regular: 400€ (US$552) Student: 200€ (US$276) q Bayesian Analysis – Overview and Applications $ ________________ Morning Courses 8:00-12:00 Regular: 150€ (US$207) Student: 75€ (US$104) Regular: 200€ (US$276) Student: 100€ (US$138) q DISCRETE EVENT SIMULATION FOR ECONOMIC ANALYSES – CONCEPTS $ ________________ q USE OF INSTRUMENTAL VARIABLES IN OBSERVATIONAL STUDIES OF TREATMENT EFFECTS $ ________________ q TRANSFERABILITY OF COST-EFFECTIVENESS DATA BETWEEN COUNTRIES $ ________________ q CONJOINT ANALYSIS – THEORY & METHODS $ ________________ q INTRODUCTION TO BUDGET IMPACT ANALYSIS: A 6-STEP APPROACH $ ________________ SOLD OUT! Afternoon Courses 13:00-17:00 Regular: 150€ (US$207) Student: 75€ (US$104) Regular: 200€ (US$276) Student: 100€ (US$138) SOLD OUT! q NEW! BUDGET IMPACT ANALYSIS: APPLICATIONS & DESIGN ISSUES $ ________________ q DISCRETE EVENT SIMULATION FOR ECONOMIC ANALYSES – APPLICATIONS $ ________________ q APPLYING MIXED METHODS TO ESTABLISH CONTENT VALIDITY OF PRO, CLINRO, AND OBSRO ASSESSMENTS $ ________________ q NETWORK META-ANALYSIS IN RELATIVE EFFECTIVENESS RESEARCH $ ________________ q PATIENT REGISTRIES $ ________________ q REIMBURSEMENT SYSTEMS FOR PHARMACEUTICALS IN EUROPE $ ________________ CONGRESS REGISTRATION (10-12 NOV) Standard Clinical Practitioners (Clinical Practice, Hospital) Full-Time Government and Academia Patient Representative Full-Time Students (must provide current enrollment docs) One Day Registration (per day)** CONGRESS enhancements THRu 16 september 2014after 16 september 2014fee Mem: 520€ (US$718) Non-Mem: 629€ (US$868) Mem: 370€ (US$511) Non-Mem: 479€ (US$661) Mem: 300€ (US$414) Non-Mem: 409€ (US$564) Mem: 300€ (US$414) Non-Mem: 409€ (US$564) Mem: 100€ (US$138) Non-Mem: 125€ (US$173) Mem: 300€ (US$414) Non-Mem: 409€ (US$564) Mem: 620€ (US$856) Non-Mem:729€ (US$1006) $ ________________ Mem: 470€ (US$649) Non-Mem: 579€ (US$799) $ ________________ Mem: 370€ (US$511) Non-Mem: 479€ (US$661) $ ________________ Mem: 370€ (US$511) Non-Mem: 479€ (US$661) $ ________________ Mem: 125€ (US $173) Non-Mem: 150€ (US$208) $ ________________ DAY: __ 10 Nov __ 11 Nov __ 12 Nov $ ________________ fee Continuing Education Accreditation (CPE & CME) (Short Courses Only) Mem: 72€ (US$100) Non-Mem: 72€ (US$100) $ ________________ Please note: Sessions are accredited based on presenter’s compliance with ACPE regulations. All accredited sessions will be designated in the CE booklet. ISPOR Social Event Tuesday, 11 November. Network with colleagues at the NEMO Science Center. Mem: 90€ (US$123) Non-Mem: 90€ (US$123) $ ________________ PAYMENT INFORMATION TOTAL FEE $ __________________ Please enclose a check payable in US dollars to: International Society for Pharmacoeconomics and Outcomes Research or ISPOR and send to the ISPOR address below. Charge to: q VISA q MasterCard q American Express Account Number: _________________________________________________ Expiration Date: ___________ Name: ________________________________________________________________ Authorized Signature: ________________________________________________ Mail Details: If not paying by credit card online, send registration form and payment to: International Society for Pharmacoeconomics and Outcomes Research, 505 Lawrence Square Blvd South, Lawrenceville, NJ 08648 USA • Tel: 609-586-4981 • Fax: 609-586-4982 • E-Mail: [email protected] • Internet: www.ispor.org Payment Details: Payment can be made by check, bank transfer ($40USD additional charge) or credit card (Visa, MasterCard, American Express). All credit card payments will be charged in USD. Phone charges will NOT be accepted. If payment is being made by your company, please make sure your name is indicated on the check stub or correspondence for bank transfer. Exchange rate as of March 2014 (1.38). The US$ prices should be used as a reference only. All credit card payments to ISPOR are charged in US $ at the exchange rate prevailing at the time of the transaction. Due to this exchange, credit card statements may vary. * Membership Details: If ISPOR cannot verify your current membership, you will be charged the non-member registration rate. When you register as a non-member, you receive an ISPOR membership which includes a one year online subscription to Value in Health - the journal of the International Society for Pharmacoeconomics and Outcomes Research. ** One Day Registration Details: One day registration cannot be combined. Cancellation Details: Cancellation fee before 16 September 2014 is US $100. No refunds given after 16 September 2014. Info & Online Registration @ www.ispor.org Consent to Receive Communication from ISPOR: By registering for this event, it constitutes consent for ISPOR to communicate with you via email, mail, text messaging, and social media, to provide awareness of products and services.
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