To register please print and complete this form and forward your form and payment to by May 4th, 2012 to:
Becky Haley (301) 618-6135
Surgical Services Office
3001 Hospital Drive
Cheverly, MD 20785
If you have additional questions please contact becky between the hours of 7:30 – 4:30.
We look forward to seeing you at the Symposium.