Outreach Programs

Mammography Conference

Registration

Date of Conference: Friday, May 6, 2011

To register send the following information and the registration fee to the address below before the registration deadline of April 15, 2011. Please place only one technologist on each sheet submitted.

Registration Fee: $75.00 per technologist. Registration is limited to 200 paid registrants. Registration fee includes lunch and breaks.

Name: _______________________________________
Address: _____________________________________
City/State: ____________________________________
Phone: _______________________________________
E-mail: _______________________________________
RT Program Name: ______________________________
Indicate whether you are a Student or Educator: ___________________

Make Checks Payable to: University of Iowa Hospitals and Clinics.

You will receive a refund if registration is canceled by April 22, 2011. Refer cancellations to Mary Huinker at (319) 356-3861 or mary-huinker@uiowa.edu.

Mail Registration and Payment to: