Registration

Digestive Endoscopy — Updates After DDW

When: Saturday, June 22, 2019
Where: Medical University of South Carolina
             Gazes Auditorium
             114 Doughty Street (enter on Courtenay Drive)
             MUSC Campus, Charleston, SC
More info: Sara Stello, 843-876-5921 or stelloss@musc.edu


You may register using only ONE of the following methods:

  • Fill out the online registration form below.
  • Print, fill out and mail this registration form (.PDF), along with a check or your credit card information, to Sara Stello, MUSC, 125 Doughty Street, Suite 440, MSC 198, Charleston, SC 29403.
  • Telephone Sara Stello at 843-876-5921 or fax her at 843-876-1089. (Both are credit card only.)

Note: Mandatory fields are indicated with an asterisk.

Payment Information

Cardholder's Name

Address

Phone and Email

With area code. No dashes.
Attendee Information
With area code. No dashes.

Payment

Early bird prices. Fees will increase on June 1, 2019.


CANCELLATION POLICY: A refund for conference registration will be made upon written request prior to May 25, 2019; however, $50 will be retained for administrative costs. We reserve the right to cancel the program if necessary. Full registration fees will be refunded for canceled programs. MUSC cannot be responsible for reimbursement of airline or other transportation fees, hotel or rental car charges.

AMERICANS WITH DISABILITIES ACT: It is the policy of the Medical University of South Carolina not to discriminate against any person on the basis of disabilities. If you feel you need services or the auxiliary aids mentioned in this act in order to fully participate in the continuing medical education activity, please call Sara Stello at (843) 876-5921 or email stelloss@musc.edu.

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