Pre-Registration Form


Radiological Science in the Context of Radiological Terrorism

to be held at the Hyatt Regency Bethesda
in Bethesda, MD on September 30, 2009

Please fill out all the information below. Registration is free. Again, the deadline for registration is  Friday, September 18, 2009.

 

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Which of the following best describes your highest academic degree? 
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Special needs or concerns: The Columbia University College of Physicians and Surgeons fully complies with the legal requirements of the ADA and the rules and regulations thereof. Any participant with special needs must submit a written request to our office at least one month prior to the course date.