NEW YORK STATE SOCIETY OF RADIOLOGICAL SCIENCES, INC.
Conference Registration 2007

NEW YORK STATE SOCIETY OF RADIOLOGIC SCIENCES, INC.

  1. Please submit this registration online with or without any payments.

  2. Payments can be submitted online using PayPal at the bottom of this form, or mailing a check or money order.


All fields marked with a * are required:

First Name*   
Last Name*   
Street Address*   
City*  
State*   
Zip Code*   
Phone Number*   
Email Address   
ASRT Member Number*   
Payment Method*   

Are you attending?
Student Icebreaker on Thursday, November 1*   
Registry Prep and Review Session on Friday, November 2*   



Select Your Rate*   




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