Registration Form: 
Annual Review Course in Nuclear Medicine 
for Nuclear Medicine Residents

Please SUBMIT this entire form no matter which payment plan you choose to ensure a complete registration.

I wish to use a Credit Card- 
I will submit my payment with secure transmission using Paypal.com. If you do not have a paypal account, you can simply click on the check out links to use credit cards If you do not have a paypal account, you can simply click on the check out links to use credit cards at that site.

 

No, I will send you a check for $400

  • If you are paying by check, we expect payment within 2 weeks in order to save your registration slot:
  • Print out this page (or your confirmation page) and return in an envelope with your check for $400.00 payable to:
    Consultants in Nuclear Medicine
    2910 W. Estes Avenue
    Chicago, IL 60645

Registration: Annual Review in Nuclear Medicine for Nuclear Medicine Residents

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
 
Please complete this registration form.
Name:
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I learned about this course:
Flyer in Mail
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Website

 

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

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2910 W. Estes Chicago, Illinois 60645-2934
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Page Last Updated: February 26, 2008