University of Michigan
Department of Internal Medicine CME

Course Registration: 31st Annual Cardiology Update

August 17 - August 19, 2018
Grand Hotel | PO Box 286 | Mackinac Island, Michigan 49757

Required fields marked with (*)

Salutation:

First Name:
*

Last Name:
*

Degree:
*

Address 1:
*

Address 2:

City:
*

State:
*

Zip:
*

Country:

Work Phone:

Home Phone:

E-mail:
*

Principal Specialty:

Name for your nametag:
*
Future CME courses you may be interested in attending:

Special Accommodations:

PLEASE RSVP: WELCOME RECEPTION • FRIDAY, AUGUST 17 • 6:00 - 7:00 pm:
*

# OF ADULTS (include children 13 years & older) or type "NA":
*

# OF CHILDREN (12 years & younger) or type "NA":
*

Registration Options PhysicianPhysician-in-Training, Retired Physician, RN & Allied HealthU-M Faculty & Staff
Full Course
One-Day Course - Friday Only
One-Day Course - Saturday Only
One-Day Course - Sunday Only
Printed Syllabus (Be green! Electronic syllabus is free)
Total Registration Fee --


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