1998 Int'l Sci Lyme Disease Conf - Registration 
Author Message
 1998 Int'l Sci Lyme Disease Conf - Registration

             ??1998 International Scientific Conference on Lyme Disease??

                            ??? emphasis on Clinical Management?????

                                 April 25 (Sat) & 26 (Sun), 1998    8am - 5pm

                                 ???  Registration Form  ????

You should register early, because space is limited to 480 people.  We are
already receiving many inquiries about this program so we expect it to be
sold-out. Registration & Sign-in start at 7:30 am

Location:
  The Equitable Conference Center,
  787 Seventh Ave (between 51st and 52nd), New York City

__ MD     __ DO     __ DVM    __ PhD    __ DDS    __ MPH  
__ RPh    __ RN     __ Mr.       __ Mrs.     __ Ms.      __ Other ____

Last name_________________________________________
First name_________________________________________
Title/position_______________________________________
Institution_________________________________________
Address __________________________________________
City__________________State________Zip_____________
phone_______________________fax___________________
e-mail______________  

Fees
Fees include attendance at scientific sessions, refreshments,
book of proceedings, and the reception.

__ $275 (by 3/20)    __ $325 (3/21- 4/23)    __ $350 (after 4/23)
__ $130  Graduate/Post-Doct{*filter*}Full-time Students
__ $TBD Fee for CME's
__ $160  Poster presenters      
__ $  60  Reception only  (non-registrants)

______ Total Amount Enclosed

Payment Method
Payment must accompany registration. U.S. funds only.
__ Check enclosed - payable to "Lyme Disease Foundation"
__ Credit Card Charge          
    __ Master Card    __ Visa     __ American Express  
      Card #________________________________________
      Expiration date_____/_____
     Cardholder's signature:___________________________

Mail, e-mail, or fax registration to:
     Lyme Disease Foundation
     1 Financial Plaza, Hartford, CT 06103
       860-525-2000  fax 860-525-8425  

Written notice of cancellation must be received
no later than 4/1/98 for a refund

Speakers will be announced the last week of January 1998



Tue, 04 Jul 2000 03:00:00 GMT
 
 [ 1 post ] 

 Relevant Pages 

1. 1998 Int'l Scientific LD Conf - Registration form

2. 1998 LD Sci Conf Registration

3. 1998 Lyme Disease Int'l Scientific Conference

4. Int'l Lyme Conf, NYC

5. 1998 - 11th Int'l Sci. Conf on LD - Poster Abstract

6. Int'l Conf. Info

7. NICE97 Int Conf Med Phys + Int Conf Med & Biol Eng

8. NICE97 Int Conf Med Phys + Int Conf Med & Biol Eng

9. Pediatric Emergency Care 1998 Oct -Lyme Disease


 
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