Workshop Registration Form

Anaerobe Bacteriology Workshop

Dartmouth Hitchcock Medical Center

One Medical Center Drive

Auditorium C

Lebanon, NH  03756

Wednesday, April 8, 2020

Participant Information

Special Dietary Requirements?

 
Workshop fee is $250.00 per person
The fee includes light breakfast, lunch, workshop, handouts, and The Wadsworth Anaerobic Bacteriology Manual 6th Edition

Method of Payment

Visa
MasterCard
Discover
American Express
Checks can be made to Anaerobe Systems and mailed to 15906 Concord Circle, Morgan Hill CA 95037
Please remit payment and enrollment form by:
March 27, 2020
California residents may earn six continuing education contact hours for attending this workshop.
Other states may also provide credit. Please refer to your State Department of Education.
CLASS SPACE IS LIMITED - ENROLL TODAY!
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Anaerobe Systems     15906 Concord Circle     Morgan Hill, CA 95037 
sandyburg@anaerobesystems.com   www.anaerobesystems.com 
Ph: 1-800-443-3108  Fax: 408-782-3031
Doc# CS-2007 Rev 0