Registration Form: 
Annual Review Course in Radiation Physics 
for Radiology Residents: Early Bird Registration


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.
Early Bird Participation:   

No, I will send you a check for $600 
bullet If you are paying by check, we expect payment before July 1, 2008 to hold your spot at this price.
bullet Print out this page (or your confirmation page) and return in an envelope with your check for $600.00 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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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