Registration
Advance registration is required and the class size is very limited. The course
fee is $1,500 per person.
To register for this course, please mail or fax us the following information:
Name
Mailing Address
Hospital Affiliation
Specialty
Office Contact
Phone Number
Fax
Payment:
Check
or
Credit Card Number
Expiration Date
Course Cancellation Policy
If you are unable to attend, please notify the Registrar as soon as possible.
You will receive a full refund if notified two weeks prior to the course. If you
cancel after this time, $150 will be deducted from your refund.
If paying by credit card, mail or fax your completed form.
If paying by check ($1,500 made payable to Tufts-New England Medical Center), mail
it with your form to:
REGISTRAR
Registrar Darlene Kamel
Tufts-New England Medical Center
Department of Surgery
750 Washington Street Box # 900
Boston, MA 02111
Phone: 617.636.2385
Fax: 617.636.2386
email: [email protected]
|
Course Dates:
January 24-25, 2003
|
|
|
Cancellation Policy
If you are unable to attend, please notify Mary
Boucher Phone: 617-636-5613 as soon as possible.
You will receive a full refund if she is notified
two weeks prior to the course. If you cancel after
this time, $150 will be deducted from your refund.
Next page -- Hotel Accommodations
|
