CME Event Registration Form

Annual Retina Update - FREE!!!

Saturday, March 22, 2008: 7AM Registration, 8AM- 5PM Course Presentations

Please enter 'N/A' in fields that don't apply.
Name*
Degree
(MD, OD, Other)*
Specialty*
Street Address*
Office Phone*
Email *
City*
State*
Zip*
Fax

*Thank you for your registration. A confirmation of your registration will be sent soon.
For more information please call 1-800-GS-CARES.


*Required field