Registration: Annual Nuclear Medicine Review for Nuclear Medicine Residents

Registration Form:
Annual Review Course in Nuclear Medicine
for Nuclear Medicine Residents

Please SUBMIT this entire form no matter which payment plan you choose to ensure a complete registration.

I wish to use a Credit Card-
I will submit my payment with secure transmission using Paypal.com. If you do not have a paypal account, you can simply click on the check out links to use credit cards If you do not have a paypal account, you can simply click on the check out links to use credit cards at that site.

No, I will send you a check for $400

If you are paying by check, we expect payment within 2 weeks in order to save your registration slot:
Print out this page (or your confirmation page) and return in an envelope with your check for $400.00 payable to:
Consultants in Nuclear Medicine
2910 W. Estes Avenue
Chicago, IL 60645

Registration: Annual Review in Nuclear Medicine for Nuclear Medicine Residents

Please complete this registration form.

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Special Notes

I learned about this course:
Flyer in Mail
Advance Magazine
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For Additional Information: Please Contact Stephen M. Karesh, Course Director at...
Consultants in Nuclear Medicine
2910 W. Estes Ave
Chicago, IL 60645
Phone: (773) 802-7617
FAX: (773) 304-2545
E-mail: nucmedconsultants@comcast.net To ensure a prompt processing of your registration,
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