MEMBERSHIP DUES Quantity Total

Lifetime (Non-Retired) $400 Lifetime (Retired) $200 Annual $100

Dues must be paid separately from convention registration fee.Annual dues must be paid out to UPMASA National by the deadline ofJanuary 31, 2020 to avail of discounted price for alumnus with paid dues.

PACKAGE RATESWelcome Reception / Pabidahan, Alumni Luncheon, Gala, Post-convention breakfast, andprocessing fee Deadline Deadline On Site No. of Tickets Total by by 03/31/2020 06/01/2020

WITH CMEAlumnus with paid duesby 01/31/2020 $695 $775 $820

WITH CMEAlumnus withunpaid dues $795 $875 $920

WITH CMEResident / Fellow $595 $675 $720

WITH CMEAlumnus from outside US $795 $875 $920

WITH CMENon UPCM Grad $795 $875 $920

WITH CMESpouse / Guest $595 $675 $720

WITHOUT CMEAlumnus with paid duesby 01/31/2020 $595 $675 $720

WITHOUT CMEAlumnus withunpaid dues $695 $775 $820

WITHOUT CMERetired Alumnuswith paid duesby 01/31/2020 $545 $625 $670

WITHOUT CMERetired Alumnuswith unpaid dues $645 $725 $770

WITHOUT CMEResident / Fellow $505 $575 $620

WITHOUT CMEAlumnusfrom outside US /Non UPCM grad $695 $775 $820

WITHOUT CME Spouse / Guest $505 $575 $620 Grand TotalWITH CME - 2 mornings with Breakfast and Snacks Residents / Fellows must submit letter of verification from program director.

CANCELLATION POLICYIndividual event payments are nonrefundable. Package rate payments are refund-able (minus built in non-refundable processing fee of $100 per registration form) IF cancellation received in writing by 05/30/2020. Souvenir Program Advertisement and Exhibit sponsorship are nonrefundable. I have read the cancellation policy and agree to the terms.

Signature Date

HOTEL REGISTRATION: BELLAGIO LAS VEGAS NV Passkey: https://book.passkey.com/e/49778307 Toll free no.: 1-888-987-6667 (refer to UPMASA group)Hotel rate starts at $149++ (resort fee and taxes) for 1 king bed resort room and $169++ (resort fee and taxes) for 2 queen bed resort room. Reduced room rates are available until all blocked rooms are taken. After which, regular room rate applies.

REGISTRATION FORMName: First - Middle / Maiden - Last

Class: Chapter:Membership Status: Lifetime / Regular / Retired / Dues Paid

Name of Guests (Fees should be paid)

PAYMENTPayment by check payable to UPMASA is preferred to avoid credit card processing fee.For credit card payments, supply information below. Registration online will be closed by June 01, 2020.

Name on card:

Card number:

Expiration date: Security code:

Billing address:

State: Zip code:

E-mail address (receipt sent here)

Contact Telephone number

Mail forms / checks to: OR Fax forms to:UPMASA National (973) 731-8381P.O. Box 1595 c/o Caroline PinderLivingston, New Jersey 07309-9998 For additional inquiries: call /text (862) 335-8830 email cargenx@gmail.com

You may register online at: www.upmasanational.org

INDIVIDUAL RATES Deadline Deadline On Site No. of Tickets Total by by 03/31/20 06/01/20 Welcome Reception /Pabidahan $275 $305 $325

CME (2 mornings withBreakast and Snacks) $200 $220 $240

Alumni Luncheon Spouse / Guest Luncheon $50 $50 $50

Gala $300 $340 $360

Post-convention Breakfast $70 $80 $90

MuReunion / Luncheon $70 $80 $90

PhiReunion / Luncheon $70 $80 $90

Non-Greek AffiliatedLuncheon $70 $80 $90

Finance Committee Tutorial(Chapter Presidents $5 $5 $5and Treasurers only) refundable refundable refundable ($5 non-refundable if no show)

Grand Total

SOUVENIR PROGRAM ADVERTISEMENT Deadline Deadline Quantity Total by by 03/31/2020 06/01/2020

Full page $280 $350Half page $150 $180Quarter page $75 $100

Grand Total

EXHIBITS Quantity Total Gold $10,000Silver $5,000Bronze $2,500Exhibitor $1000

Grand Total

CAROUSEL DECOR

LAS VEGAS STRIP

ZIPLINEDOWNTOWNLAS VEGAS

FERRIS WHEELLAS VEGAS

STRIP

EIFFEL TOWERLAS VEGAS STRIP

SCHEDULE Pre-convention / Sunday June 2801:00pm to 04:00pm Finance Committee TutorialAll Day Las Vegas Tours and Shows on your own

Day 1 / Monday June 29 07:30am to 03:00pm Meeting of the Board of Governors09:00am to 05:00pm Registration09:00am to 05:00pm Exhibits / Fitness & Wellness (Tai Chi, Zumba, and Line Dancing)06:00pm to 12:00am Welcome Reception / Pabidahan Theme: The Legends Day 2 / Tuesday June 3007:15am to 12:15pm CME Day 1 CME breakfast starts at 07:15 am and ends 08:45am08:00am to 05:00pm Registration09:00am to 05:00pm Exhibits12:30pm to 02:30pm Alumni Luncheon / Business Meeting03:00pm to 12:00am Class Reunions Day 3 / Wednesday July 1 07:15am to 12:15pm CME Day 2 CME breakfast starts at 07:15 am and ends 08:45am08:00am to 05:00pm Registration09:00am to 05:00pm Exhibits12:30pm to 02:30pm Mu / Phi / Non-Greek Affiliated Luncheon04:00pm to 05:30pm Awarding of Medallions to Golden, Silver Jubilarians, Outstanding Alumni & UPMASA Presidents 06:00pm to 12:00am Gala Night Theme: Viva Las Vegas Day 4 / Thursday July 208:00am to 10:00am Post convention breakfast

HIKERED ROCK CANYON

LAS VEGAS

UPMASA - AGC 2020 CONTACTSFrancisco Sy, MD ‘75 NV franciscosymd@gmail.comJose Victor Ventura, MD ‘95 jv14344@aol.comLillian Tocyap-Aquino, MD‘96 AZ lillian_tocyap@yahoo.com

2020 AGC ORGANIZING COMMITTEE Overall Chair Francisco Sy, MD ‘75 NV

Co-Chairs Jose Victor Ventura, MD ‘95 Lillian Tocyap-Aquino, MD ‘96 AZ

Chapter Presidents Enrique Ona, MD ‘99 AZ Francisco Sy, MD ‘75 NV

Finance Committee Lillian Tocyap-Aquino, MD ‘96 AZ Maya Liza Lopez, MD ‘95 Aurelio Muyot, MD ‘89 NV

CME Program Ernerio Alboliras, MD ‘76 AZ Delia Kuizon, MD ‘95 Francisco Sy, MD ‘75 NV

Sponsors / Exhibits Raul Vincent Gatchalian, MD ‘94 AZ Alan Paul Briones, MD ‘95 Romualdo Aragon, Jr., MD ‘82 NV

Souvenir Program Catherine Lisondra-Krings, MD ‘84 AZ Charissa Pe-Benito, MD ‘95 Gerardo Lorenzana, MD ‘83 NV

Registration Maria Teresa Perez-Laurel, MD ‘85 AZ Michael Victorino Medina, MD ‘95 Lynda Obiena-Tirao, MD ‘70 NV

Welcome Reception Michelle Jao-Velasquez, MD ‘99 AZand Pabidahan Martin Joseph Hortaleza, MD ‘95 Mercedes Cruz, MD ‘85 NV

Alumni Luncheon Damaso Bueno, MD ‘92 AZ Catherina Elena Bernardo, MD ‘95 Dominador Garcia, MD ‘69 NV

BOG Liaisons and Enrique Ona, MD ‘99 AZPost AGC / Breakfast Jose Victor Ventura, MD ‘95 Francisco Sy, MD ‘75 NV

Jubilarian Liaisons Victoria Altavas-Arcega, MD ‘70 Gold Ruby Roa-Alboliras, MD ‘80 Ruby Christopher Mejia, MD ‘95 Silver Maria Mercedes Alba, MD ‘82 AZ

Pre-Gala / Awards Lilibeth Pineda, MD ‘85 AZ Emmanuel Barias, MD ‘95 Cecilia Bautista-Fabella, MD ‘69 NV

Gala Night Marietta Uy-Mangubat, MD ‘87 AZ Emmanuel Bayongan, MD ‘95 Elouisa Dizon-Farrales, MD ‘69 NV

UPMASA 2019 - 2021 NATIONAL OFFICERS President Susan Concepcion-Echiverri, MD ‘79President-Elect Lourdes Publico, MD ‘77Immediate Past President Jose M. David, MD ‘83Chair, Board of Governors Henry Echiverri, MD ‘81Vice Chair, Board of Governors Cecile Pasion-Bregman, MD ‘78Recording Secretary Winston Umali, MD ‘94Corresponding Secretary Felicitas Lardizabal-Lacbawan, MD ‘84Treasurer Edwin V. Palileo, MD ‘72AAssistant Treasurer Glenn Batiller, MD ‘80Auditor Elizabeth Fong-De Leon, MD ‘75

40th Anniversaryand

35th Annual Grand ConventionHOSTED BY

Class of 1995, Arizona and Nevada Chapters

CELEBRATING THE JUBILARIANS

Gold Ruby SilverClass of 1970 Class of 1980 Class of 1995

Bellagio Hotel and Casino3600 Las Vegas Boulevard S

Las Vegas, Nevada 89109 USA

June 28, 2020 to July 02, 2020

CMETheme:Promoting Wellness and Global Health: Updates and Emerging Technology

USE OF NEW AND EMERGING TECHNOLOGIES

Leo Anthony G. Celi, MD ‘90, Massachusetts Institute of TechnologyAn Inconvenient Truth about Artificial Intelligence in Healthcare

Fareed Moses S. Collado, MD ’07, Beth Israel Deaconess Medical CenterEmerging Technology in Interventional Cardiology

Susan C. Echiverri, MD ’79, Health Care Services Corporation (Chicago,IL)Medical Genetics at the Bedside and at the Clinic

Felicitas L. Lacbawan, MD ‘84, Quest DiagnosticsGenetics for the Masses

Virgilio M. Novero, Jr., MD ‘86, UP-PGHAdvances in Artificial Reproductive Technology

Benjamin B. Roa, PhD, Myriad Genetic LaboratoriesMolecular Genetic Applications in Oncology

Ian S. Soriano, MD ‘97, University of PennsylvaniaOptimizing Bariatric Surgery Outcomes through Robotics & Enhanced Recovery Protocols

GLOBAL HEALTH

Dennis R. Labayen, MD ‘72B, Outreach InternationalParticipatory Human Development in Global Health

Roderico Ofrin, MD ’95, WHO Regional Office for Southeast AsiaRisky Business: Public Health & Emergencies

Francisco S. Sy, MD ’75, UNLV School of Public HealthConfronting Neglected & Emerging Diseases: Successes & Opportunities

UPDATES ON DISEASES AND/OR CONDITIONS

Ernerio Alboliras, MD ’76, Genus Heart CenterSudden Cardiac Death in Children- Risk Detection & Prevention

Darwyn Chern, MD ’95, Partners in RecoveryOpioid Dependence & the Opioid Crisis

Gerome V. Escota, MD ’04, Washington University in St. LouisOf White Walkers and Dragonglass: Emerging Resistant Infections andNew Antimicrobials

Diana J. Galindo, MD ’76, Cleveland Clinic FloridaForgetfulness: When Should I Worry?

Nemencio A. Nicodemus Jr, MD ’95, UP-PGHClinical Updates on Diabetes in Pregnancy

PROMOTING WELLNESS

Retna Ariotedjo-Billano, MD ’76, Heights Dermatology & AestheticsForever Young

Karen L. Parker, PhD, MSW, National Institutes of HealthLesbian, Gay, Bisexual & Transgender (LGBT) Health

Raymond Poliquit-Moore, MD ’89, Tulane UniversityMaking Fitness Fun with Zumba Classes: A Case Study on Marketing Fitnessto Communities across Louisiana

Renato V. Samala, MD ’00, Cleveland Clinic Taussig Cancer InstitutePalliative Care: Living & Dying Well in the Face of Serious Illness

This live activity, UPMASA 35th AGC CME, beginning June 30, 2020 has been ap-proved and is acceptable for up to 10 prescribed credits by the AAFP. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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