First Name                                        Last Name                                       Title
      
Institution/practice name

Street Address
 
 
City/State/Zip Code
 
Phone                               Fax
   
Email
  required for invoice

Full Seminar July 17, 18 & 19, 2009
   CSCP Member Registration $360
            OR
        Medical Resident Registration $360

Non-Member Registration $500

Single Day

Friday, July 17, 2009
$175 for CSCP Member OR $200
Saturday, July 18, 2009
$175  for CSCP Member OR$200
Sunday, July 19, 2009
$175 for CSCP Member OR $200

Comments

You will receive an e-mail confirming online registration and an invoice if you want to send a check. You will also receive an invoice from the CSCP through PayPal if you want to use a credit card.