2008 South Texas Transplant Symposium

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Please Choose a Payment Method

OPTION 1: Checks

Check for $50.00 made payable to Driscoll Children's Hospital
Enclosed is my check PAYABLE TO Driscoll Children’s Hospital in the amount of $
Fill out this form and mail it with your check to the address below.

OPTION 2: Credit card

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Fill out this form and fax it with your credit card information to (361) 694-5665

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This form must be printed and faxed or mailed to Maria Campbell. We do not collect credit card information online.

How to Reach Us

Driscoll Children's Hospital
Maria Campbell

Phone (361) 694-4117
Fax (361) 694-5665
3533 South Alameda Street
Corpus Christi, Texas 78411
Email: Maria.Campbell@dchstx.org
Visit our website: www.driscollchildrens.org/cme

NO REFUNDS will be issued after March 21, 2008.
Location:
Education Service Center- Region 2
Auditorium (Room 3-11)
209 N. Water Street
Corpus Christi, Texas 78401
PRINT AND FAX THIS DOCUMENT TO (361) 694-5665

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Corpus Christi, Texas

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