RPA - Renal Physicians Association

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Renal Physicians
Association

1700 Rockville Pike
Suite 220
Rockville MD 20852
Phone: 301-468-3515
Fax: 301-468-3511
EMail: rpa@renalmd.org
Duke Univ/ FUQUA Health Mangement Course - Registration Form

Please complete this application to register for the Business Management and Leadership Course for Nephrologists on November 11-13, 2004 in Durham, NC.

Personal Information

First Name:
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Tuition Fees: Includes 2 breakfasts, 2 lunches, 2 receptions, 2 dinners and all refreshment breaks during the 2-day course. Also included is 3 nights' lodging at the state-of-the-art conference center, all course materials, and CME certificates.
 

Please check all that apply

RPA Member Tuition Fee $1,495
Non-Member Tuition Fee $2,250 - Click here to become a member.
I have a disability and need special accommodations to fully participate. Please contact me at the phone number/email above.

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