Last Minute easy registrations

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* 1. Please give us your name, full address, phone number, and e-mail address. Please make sure that your e-mail account will allow e-mails from "leslie@csrf.net" to ensure you receive communication.

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* 2. Our room block is no longer available at the host hotel. Please confirm that if you need them, you will make your own hotel arrangements.

I do not need a room anyway!

I need a room but I will find one on my own.

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* 3. Please tell us your CONFIRMED ENDOGENOUS source of Cushing's (pituitary, adrenal, ectopic, etc.) and your diagnosis date.

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* 4. Please tell us which treatment(s) you have received - surgery, medication, radiation, etc.

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* 5. Will you bring a Caregiver? If so, please give us their name and relation to you.

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* 6. Do you have any dietary restrictions?

Yes

If yes, please list:

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* 7. Do you have questions or comments? Please list them here or e-mail to leslie@csrf.net and we will get back to you soon. Thank you!

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* 8. Please acknowledge that you understand that we are right up at room capacity and may be starting a wait list. We will respond ASAP to your registration request, but please acknowledge that you will not book nonrefundable travel until you receive confirmation of registration.

I will not book non-refundable travel until I receive a registration confirmation. I DO wish to be on the wait list if you receive this registration after you reach capacity.

I will not book non-refundable travel until I receive a registration confirmation. I DO NOT wish to be on the wait list if you receive this registration after you reach capacity.