PAINWeek® Satellite Event Description Form

Please complete the following description form for your satellite event. Information here will be used by PAINWeek to post on and in the program book, so please thoroughly proof all information. Please submit by July 22, 2016. If we do not receive a description form by this date, we reserve the right to post information about your program at our discretion. To avoid confusion of multiple versions, please only submit this form only once all information is confirmed and proofed.

If PAINWeek has questions about information on this form, we should contact:

Please describe your program:

(if applicable)
(limit 250 words)
(if applicable)
(you may also include affiliation such as University, medical school, or clinical practice)
(if applicable)
(if different from above)
(if applicable)
(if applicable)

Required Information

The following information is required for attendee inquiries. This information will be published online and in the onsite program book. If these fields are left blank the event organizer's contact information on file will be used.

CME Activities Only

Attribution Line eg, "supported by an education grant from..."

Sample Listings in the Program Book



Sample Full Text Program Description



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