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36th Remington Winter Course in Infectious Diseases

February 21-26, 2010
Cascade Conference Center
Vail, Colorado

Please complete the following information.
If you are registering more than one person, you will need to complete this form and make payment separately for each.

First Name

Last Name

Degree

Institution

Department

Address

City

State

Zip

Phone

Fax

Specialty

Registration Fee:

Regular Registration - $595

Supporters - $475

Fellows, Residents, and Students - $150

The registration fee includes tuition, course syllabus, certificate of credit, and planned meal functions.

If your registration must be cancelled and your request is received in writing on
or before January 15, 2010, your paid tuition, less a $75 administrative fee, will
be refunded. No refunds will be granted after January 15, 2010.

Submit Registration and Proceed to Payment Page:
(Credit card and check options available)