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Department of Pediatrics : Academic Divisions : Cardiology : Conference Registration

Sixth Charleston Symposium on Pediatric Electrophysiology
Focus on Clinic Management
December 11-13, 2011 

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Registration Information
Please enter your name and credentials as you would like them to appear on your nametag.
Complete phone contact and email information so we may contact you for program related information or changes.
FEES and PAYMENT
**To qualify for early registration discount: payment must be received by October 30, 2011.
Payment Method
Credit Card Payments: To insure the security of your credit card, DO NOT EMAIL credit card information. Please download our form and fax to Attn: Debbie Bryant (843) 792-3284 or call (843) 792-3286. To download form, click space below.

Problems with this form? Contact us by email at wyser@musc.edu or call us: Debbie Bryant (843) 792- 3286.

Click here for credit card payment form.