AMDIS: 2011 Physician-Computer Connection Symposium Registration Form

2012 Physician-Computer Connection Symposium
Registration Form

Make check payable to:

Keene Research Institute
682 Peninsula Dr
Lake Almanor, CA 96137

Or you may fax printed form to 978-389-7729.

Or payment may be made by credit card and your registration will be processed immediately.

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For more information visit PCC webpage, email info@amdis.org, or phone 530-596-4477

Click on an amount to complete secure Symposium registration and payment.

Individual (prior to March 1st) Earlybird<<

Individual

AMDIS, CHIEF, and SI Members (Individual) (prior to March 1st) Earlybird<<

AMDIS, CHIEF, and SI Members (Individual)

AMDIS, CHIEF, and SI Members (Organization or Group) (prior to March 1st) Earlybird<<

AMDIS, CHIEF, and SI Members (Organization or Group)

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