CLASS REGISTRATION FORM

ONE DAY CLINICAL TRIAL BASICS WORKSHOP
Thursday, May 15, 2008       9 BRN contact hours

Registration fee: $389 by 5/2/08     $449 after 5/2/08     No refunds after 5/2/08


Payment Options:

1)  Pay via PayPalSecure online payment using your Visa, MasterCard, American Express or Discover card.

Prior to 5/2/08 - $389.00
After 5/2/08 - $449.00

2)  Pay via FAX

Print this page, fill out and fax with payment by your Visa or MasterCard only.


Fax Pay
3)  Pay via MailPrint this page, fill out and mail with payment by check or Visa/MasterCard.
Fax Pay


For more information contact:

Tricia Cheney: tcheney1@aol.com Patty Kasper: info@pkasperassociates.com
615-403-5003Phone/Fax 408-395-3943
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