Registration

Attendee Details

  
  
  
  
First Name   

MI   

Last Name   

Credentials   

  
  
  
  
Hospital/Professional Affiliation:
City State Last 4 digits of SSN
(for CME/CEU/SAMS use only)

  
  
Mailing Address

  
  
  
  
City

State
Zip
Country

  
  

Daytime Phone

Fax Number

E-Mail Address

  
Dietary Restrictions

Session Registration

 

** ATTENTION **
When you press submit below you will be taken to the SC.GOV Payment System site for payment.

** Cancellation and Refunds **
Refunds must be requested in writing, prior to April 7th, 2020. A $100.00 administrative fee will be withheld.

For additional information please contact:

Ms. Teresa Kennedy
MUSC Dept. of Pathology and Laboratory Medicine
171 Ashley Avenue MSC 908
Charleston, SC 29425-9080
Phone: (843) 792-1912
Secure Fax Line: (843) 792-8811

Click Below to Email

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