CSD Fourth Annual Fall Symposium Registration Form

Thursday, October 18, 2007, New Research Building Auditorium, Georgetown University

 

As part of its efforts to promote the importance of sex-based research, the CSD sponsors an Annual Fall Symposium at Georgetown University. This year's event features internationally renowned scientists from premier medical institutions in the United States and Europe who will discuss critical new insights in the field of endocrinology and metabolism.

 

Symposium Registration is FREE. Simply complete the registration below and press on the Submit button.

 

Please note that the symposium is a CME accredited event, and participants can apply for up to four CME credit hours for attending. To request CME credit please complete a CME form upon check-in at the symposium. There is no fee for CME credit.

First Name:

Middle Initial:

Last Name:

Degree:

     

Company or University Name:

Department:

Professional Title:

 

Address:

City, State, Zip Code:

Country:

 

Work Phone:

Fax:

Email Address:

 

Please List Any Special Requirements (mobility, etc.):

 

Participant Role (Please Select One):

Other:

Affiliation: (Please Select One):

Other: