Imaging Strategies 2007: Registration

Save the Date!
Caritas St. Elizabeth's Medical Center presents

The 5th Annual Imaging and Treatment Strategies in Primary Care Medicine

Friday, April 6, 2007
Conference Center at Waltham Woods
at Massachusetts Medical Society
860 Winter Street | Waltham, MA

Registration Form

There are four ways to register:

To register online, fill in the form below, then click "Submit Registration"
To register by fax, fill in the form below, then print and fax it to 617-636-0429
To register by phone, call 617-636-1000
To register by mail, fill in the form below, then print and mail it to:
Tufts Health Care Institute
136 Harrison Avenue
Boston, MA 02111

Registration Fees:
$99 Special rate for Caritas Clinicians and Tufts University School of Medicine Affiliated providers.
$125 Early registration, ends March 16, 2007
$160 Late registration, starts March 17, 2007
Tufts Health Care Institute will confirm registration upon receipt of payment.
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First Name:

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Please choose an afternoon program track:	Oncology-Nephrology Common Issues in Primary Care


How did you hear about this conference? Please check all that apply (holding your control key/Ctrl while clicking multiple options using your computer's mouse):


If from another source, please indicate below:


I am a Caritas Clinician or Tufts University School of Medicine Affiliated Provider ($99 registration fee)

Payment type for Registration Fee:	Credit Card Check

Cancellations:
Cancellation of conference registration must be requested in writing and postmarked or emailed to thci@thci.org no later than March 30, 2007. Refunds, less a $50 administrative fee per registrant, will be issued. Cancellation / refund requests will not be granted after March 30, 2007. Registrants who do not cancel by March 30, 2007 and do not attend are responsible for the full registration fee.

There is no penalty for substituting one attendee for another at any time. Registration substitutions will be accepted with written notification from the original registrant (via mail or email at thci@thci.org).

In the unlikely event that THCI cancels the conference, registration fees will be refunded.