Fall Conference Registration: Minnesota Radiological Society

November 14, 2020

First Name

Last Name

ACR Number

Company

Credentials, MD, PhD, FACR Etc.

Email Address

Phone Number

MRS Active Member (Registration Fee Compliments of MRS)

MRS Physicist Member (Registration Fee Compliments of MRS)

Resident (Registration Fee Compliments of MRS)

Non Member Physician (Registration Fee Compliments of MRS)

Non Member Physicist (Registration Fee Compliments of MRS)

Fellow (Registration Fee Compliments of MRS)

Medical Student (Registration Fee Compliments of MRS)

Faculty Member (Registration Fee Compliments of MRS)

Other (please specify)