REGISTRATION
    
Please return registration information to:
           
     

Christopher Harris
Wayne State University
Dept. of Radiation Oncology
431 Chemistry Building
Detroit, MI 48202
Phone: 313.577.1018
Fax: 313.577.0798
christopherharris@wayne.edu

 
             

Download Registration Form
To download PDF Form Click here
To download Word Form Click here
                 
                             
 

REGISTRATION FEES

                             
         
Before
After
Daily
  
     
6/15/05
  
6/15/05
            
   
Ph.D. / M.D.
$495.00
  
$595.00
$300.00
          
   
Post-Doc Students
  
$345.00
$395.00
$175.00
          
   
Graduate Students
$270.00
$320.00
$100.00
            
Accompanying Person(s)
$150.00
$150.00
Conference registration fee also includes opening reception, cocktails with exhibitors, and gala banquet
       

METHOD OF PAYMENT -   Please see details on the downloaded registration form
Check (personal or institutional) should be made out to:
THE FUND FOR MEDICAL RESEARCH & EDUCATION

( FMRE Tax I.D. #382319524)
   
Credit cards accepted - Visa, Mastercard and American Express

NOTE:
1) A printed hard copy of the registration form must accompany any checks or credit     card registration payments

2) If paying by credit card, credit card statement will reflect a charge from:
    "The Fund For Medical Research & Education"

  
     
   
Registration payments should be mailed to:
Christopher Harris
Wayne State University
Dept. of Radiation Oncology
431 Chemistry Building
Detroit, MI 48202