Registration

The registration fee for this course is $650.00 for registration prior to November 3, 2010 and $725.00 thereafter. Cancellations must be received in writing at the Ciné-Med Inc. office 14 days prior to the course start date. No refunds will be issued after this date. A $50 administration fee will be subtracted from the refunded registration fee.

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First Name:
Last Name:
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Not required if country is not the United States or Canada.
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If Other please specify:
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Fax Number:
Specialty:
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Payment Information

Rates:

$650.00 - Physicians
$500.00 - Resident/Fellow/Other Allied Health professional
$1300.00 - All industry representatives from non-exhibiting company
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