Registration Form
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Registration Deadline: July 24, 2008 Full refund less $20 processing fee for cancellation if Heart Institute of the Cascades is notified by July 24. Refund less $100 if notified between July 25 - August 1. No refunds will be granted after August 1. You will not be considered registered until payment is received. The conference may reach maximum allowable attendance before registration deadline date. Registration for partial day attendance is not accepted. |
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| Registration Form |
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| First Name |
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| Last Name |
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| Address Line 1 |
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| Address Line 2 |
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| City |
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| State |
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| Zip |
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| Registrant Information |
| Profession |
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| Title |
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| Last four digits of social security number |
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| Special Needs (dietary, disability, etc.) |
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| Contact Information |
| Phone Number |
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| Email Address |
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| Registration Fees |
$390 Physicians (after July 7)
$240 Other Health Professionals (after July 7) |
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| Friday Core Curriculum: Please select your first choice for each session |
1:15 PM 2:25 PM 3:35 PM |
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| For additional information, please contact Continuing Medical Education at St. Charles, 541-617-2605. |
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