UM Innovation Technology Showcase

UM Innovation Technology Showcase 2009

Registration Form

Title	First Name *	MI	Last Name *
Organization/Company
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City

State

ZIP

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* Required Field

Registration Fee:

Registration $150 per person

Number of attendees

Click On the Submit Button and You Will Be Directed To A Secure Credit Card Processing Environment

Cancellation Policy

Please note that you may cancel your registration prior to October 18, 2009 for a full refund. We must receive your cancellation notice by e-mail, or in writing, prior to the deadline date.

No refunds will be issued for registration cancellation after October 18, 2009.

For more information or questions, please call 1-800-632-7370 or contact us by e-mail: mradice@med.miami.edu.