| Registration for: |
| Veterinary MRI of the Nervous System |
| Veterinary Neuroscience & Advanced Clinical Neurology/Neurosurgery |
| Craniotomies and Brain Surgery in Dogs |
NC State College of Veterinary Medicine
Raleigh, North Carolina
USA |
This form cannot be filled out online. Please print and write legibly in the spaces
provided.
To pay by credit card, fax this form to: 919-513-6689
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Registration fees:
Veterinary MRI of the Nervous System, July 26 - 27, 2008:
THIS COURSE IS NOW FULL
__________Please put me on the waiting list. I understand that there is a good chance that I will not
get in to this course.
Veterinary Neuroscience & Advanced Neurology/Neurosurgery, July 28 - August 8, 2008:
__________$1000 for residents and graduate students registering after May 1, 2008
__________$1500 for all others registering after May 1, 2008
__________$100 for one-day registration - Please indicate which day(s) you will attend:
_______________ (two-day maximum)
Craniotomies and Brain Surgery in Dogs, August 9 & 10, 2008 (one-day course, repeated):
THESE COURSES ARE NOW FULL
__________Please put me on the waiting list. I understand that there is a good chance that I will not
get in to this course.
__________TOTAL REGISTRATION FEE
Please send registration and credit card information by fax to:
919-513-6689
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