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PPRNet 2012 Network Meeting
Please fill out a registration form for each person attending.
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Registration
Please complete the registration and payment section with complete billing information.
EARLY REGISTRATION - before June 1, 2012
REGISTRATION - received after June 1, 2012
REGISTRATION FOR PRE-MEETING WORKSHOP-August 23, 2012 (select only one)
Credit card payments will be directed to the SC.gov website for secure payment processing.
You will receive a receipt from SC.gov.
For questions contact Ruth Wyse at wyser@musc.edu or call 843-876-1212.
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PPRNet
Department of Family Medicine
Medical University of South Carolina
20 Ehrhardt St, Ste 300, MSC 192
Charleston, SC 29425
Ph. 843-876-1212  fax 843-876-1211
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