Registration Form:
 Basic Handling of  Radioisotopes for Nuclear Cardiologists

Paying by check:

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  • Return in an envelope with your check  payable to:
    Consultants in Nuclear Medicine
    2910 W. Estes Ave.
    Chicago, IL 60645-2934 

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  • Payment is required within 2 weeks
  • Questions About Payment? See Tuition

 

Registration: Basic Handling of  Radioisotopes for Nuclear Cardiologists

Name:
Address:
City:
State:      Zip Code:
Email Address
Hospital or Clinic
practicing cardiologist    fellow
Daytime Phone or Pager
Work Fax
Special Notes
Course Dates 
I Plan to Attend		  

 

Please complete this registration form.
Any questions??

For Additional Information: Please Contact Stephen M. Karesh,  Course Director at...
Consultants in Nuclear Medicine
2910 W. Estes Ave 
Chicago, IL 60645
Phone: (773) 802-7617    
FAX:  (773) 304-2545  
E-mail: nucmedconsultants@comcast.net