Stars in the Mountains 2010 Registration Form
Meeting information
CSCP Homepage

*If you get an error message, please e-mail Amy Hicks, CSCP administrator, at cscpmgr@hotmail.com to sign up. Please include the information in the fields listed below and you will then receive a confirmation and invoice. Thank you for your patience.

First Name                                        Last Name                                       Title
      
Institution/practice name

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

Full Seminar July 16, 17 & 18, 2010
   CSCP Member Registration $400
   Non-Member  $600
  Medical Resident Rate  $250
  Join the CSCP $150

Daily Seminar

Friday, July 16, 2010
$175for CSCP member OR $200non-memberOR $100 medical resident
Saturday, July 17, 2010
$175  for CSCP member OR $200non-memberOR $100 medical resident
Sunday, July 18, 2010
$175 for CSCP member OR $200 non-memberOR $100 medical resident

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.