Registration Form:
 Basic Handling of  Radioisotopes for Oncologists

Paying by check:

  • Print out this page

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

Save Me a Space!

  • Submit this form online to save a space in the course.
  • Payment is required within 2 weeks
  • Questions About Payment? See Course Info

 

Registration: Basic Handling of  Radioisotopes for Oncologists

Name:
Address:
City:
State:      Zip Code:
Email Address
Hospital or Clinic
practicing oncologist    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
 
 

 Courses Offered By This Website Are Not Affiliated With or Sponsored by 
Loyola University Medical Center.

Home | NucMedTutorials
Any Questions?? Contact Information
This website is owned and operated by nucmedconsultants@comcast.net
copyright ©2008, Consultants in Nuclear Medicine. All Rights Reserved
2910 W. Estes Chicago, Illinois 60645-2934
Phone: 773/802-7617   Fax: 773/304-2545
web design: maxioms.com

Page Last Updated: February 26, 2008