REGISTRATION FEES:
Physicians and Scientists $150.00
Residents, Fellows and Allied Health Professionals $ 75.00
THREE WAYS TO REGISTER:
FAX: This form with Visa, M/C, or American Express number to (718) 413-1927
PHONE: (718) 470-8694 with your Visa, M/C, or American Express number
MAIL: This form with credit card information or a check payable to:
North Shore-LIJ Health System
Attn: Katherine Norris
75-59 263rd Street, Glen Oaks, NY 11004
| Registration Contact
Contact: Katherine Norris,
at The Zucker Hillside Hospital
Phone: (718) 470-8418 • Fax: (718) 413-1927
Email: knorris@nshs.edu
Website: www.pharmacogeneticsinpsychiatry.com
Cancellations
All cancellations must be confirmed in writing by
Friday, March 2, 2012 for registration refund. After
this date, registration is non-refundable.
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