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Heart Valve 2012
4.
1.
Please fill-out the registration and evaluation forms to receive CME credits or Certificate of Attendance. Certificates will be mailed to the address below (U.S.only) or E-mail (outside of U.S.) within 10 days.
Name:
Company:
Address 1:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
2.
Please enter the number of CME credits you are claiming (up to 19 credits)
Any questions, please contact the Office of CME at:
SUNY Downstate Medical center
450 Clarkson Avenue, Box 1244
Brooklyn, NY 11203
Tel. 718-270-2422 Fax., 718-270-4563
or e-mail us at ocme @downstate.edu