UNC Cardiac Electrophysiology Symposium:
Practical Approaches to Patient Management
March 20, 2010
Registration Deadline: March 12, 2010 MME 012 001 10w
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REGISTRATION
Please complete a separate registration form for each person. Registrations will not be processed unless accompanied by
full payment (check, Visa, or MasterCard). You may register by:
faxing your form, with complete credit card information, to 919-962-1664
mailing your form, along with a check or complete credit card information, to:
Office of CME
CB# 7321, Medical Bldg B
UNC School of Medicine
Chapel Hill NC 27599-7321
UNC CME recommends that you do not make air travel arrangements prior to receiving a receipt of payment or confirmation.
UNC CME is not responsible for any travel-related costs.
REGISTRATION FEES (please mark applicable fee)
Registration is fee waived with completed registration form which must be returned by deadline
March 12, 2010
MD & DO Onsite $25.00
Other Health Professionals Onsite $15.00