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CME Information Form


I intend to participate in the 2009 Teratology Society CME Program. Below is my information which will be provided to McGill University for issuance of CME credits.

Register by May 15 for lower fees.
Full Name:
Degree:
Medical License Number:
Company:
Address:
Phone:
E-Mail:
 

If you have trouble with this form, please send an email containing the above information to
tshq@teratology.org, or fax the Teratology Society at (703) 438-3113



Rev. Sunday, March 22, 2009; at 10:10:46 PM EDT
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