Seminar September 2008 Registration Form:


Instructions:
Complete form and click button at the bottom.
Chose your method of payment: PayPal or Mail-In Check.
Note Checks must be received within 10 days after reservation in order to hold registration. If 10 days is after seminar date you must pay with PayPal.
Checks are to be made to and mailed with a copy of this form to the address at the bottom of this page.


Date of Workshop:

September 20-21, 2008: the Hudson School - Hoboken NJ

Please enter the following information very carefully:

Name:  

   Last

   First
Address:  
   Street   Apt.
   City  State  Zip

E-mail:

Telephone:

Fax: (optional)

   
Sex:  Male Female
Specialty:
Yr of Residency:  
When are you taking the USMLE Step2CS test?: (optional)
Number of USMLE Step2CS test attempt: (optional)

Please enter any comments in the space provided below:



How did you hear about Step2CSReview.com?

 
Other:

Mail-In Registrants please make checks payable to and mail to:

Clinical Skills Consultants Inc.
PO Box 1238
Warwick, NY 10990


 
 

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