Enrollment Application
25th Annual Physics of Diagnostic Radiation, Nuclear Medicine & Radiation Biology Board Review
August 6-10, 2008
Download the application — Physics Review Course - Enrollment Application (PDF) — or print this page.
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Last Name, First Name, Middle Initial
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Address
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City, State, ZIP
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Day Phone, FAX
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Institution/Employer
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E-mail Address
FEE: $925 (U.S. dollars). Application must be postmarked by July 15, 2008. Fee is $1,025 after July 15, 2008.
Print out and complete the form and mail it along with a check, money order, or cashier's check payable to UC Regents to:
Lorraine Smith
UC Davis Medical Center, Health Physics Office
2315 Stockton Blvd, FSSB-Suite 2500
Sacramento, CA 95817
Forms for on-campus accommodations, and information regarding the University Guest Resident Program, can be found at conference housing's Web site: http://www.confhsg.ucdavis.edu, or call (530)752-8000.
E-mail your questions to Lorraine Smith, Course Coordinator, at losmith@ucdavis.edu.