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Physics of Diagnostic Radiology

Physics of Diagnostic Radiology

Enrollment Application

33rd Annual Physics of Diagnostic Radiation, Nuclear Medicine & Radiation Biology Review

April 27-30, 2016

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: $ 975
 (U.S. dollars). Application must be postmarked by March 30, 2016.  Fee will be $ 1075 after March 30, 2016. 

Print out and complete the form and mail it along with a check, money order, or cashier's check payable to UC Regents to:

My Sandriany
UC Davis Medical Center
4800 2nd Avenue, FSSB-Suite 2500
Sacramento, CA 95817

Accommodations close to the course site:

The Courtyard by Marriott Sacramento Midtown is located at 4422 Y Street, Sacramento, CA 95817 (916) 455-6800.

The Hotel Med. Park is located at 2356 Stockton Blvd., Sacramento, CA 95817 (916) 455-4000.

 

E-mail your questions to My Sandriany, Course Coordinator, at msandriany@ucdavis.edu.