Registration Form: 
Annual Review Course in Radiation Physics 
for Radiology 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 at that site.
First Time Participation:

Previous Participant:

No, I will send you a check for $650 (or $400 if I participated in last year's review course.)

bullet If you are paying by check, we expect payment within 2 weeks to hold your spot.:
bullet Print out this page (or your confirmation page) and return in an envelope with your check for $650.00 payable to:
Consultants in Nuclear Medicine
2910 W. Estes Avenue
Chicago, IL 60645

Registration: Annual Review in Radiation Physics for Radiology 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:
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I learned about this course:
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 Courses Offered By This Website Are Not Affiliated With or Sponsored by 
Loyola University Medical Center.

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Page Last Updated: February 26, 2008