Use the following form only for electronic submission of the
requested information. Otherwise, print this
"other" form (click here!) and fax it to +1 914 784
6219 to the attention of Dr. Chatschik Bisdikian.
The conference registration fee (US
$300.00) can be paid by using a credit card, via electronic
fund transfer (EFT), or, in limited cases, via a bank check. Please
click on "How to Pay!" for further
details. The information you provide will be submitted electronically by
clicking on the "Register now!" button below.
Thank you!
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form