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    • International Invitation Letter

    • Prefix:
      Full Name*:
      (as listed on your passport) 
      Meeting Confirmation Number:  
      Institution/Hospital*:  
      Address Type*:  
      Address 1*:  
      No P.O. box numbers accepted!
      Address 2:  
      City*:  
      State/Province:  
      Zip/Postal Code*:  
      Country*:    
      Email*:  
      Phone Number*:
       
      Nationality*:
      Passport Number:
       
      Date of Birth:
       
      Notes:    
        I hereby confirm that I have provided you with correct information to the best of my knowledge for the purpose of obtaining an official invitation letter from the Radiological Society of North America in support of my visa application to participate in the 100th Scientific Assembly and Annual Meeting November 30 - December 5, 2014, in Chicago, Illinois, USA.  I understand that RSNA cannot intervene with either U.S. embassies abroad or with the U.S. State Department on my behalf.