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Quarterly Triangle TEE Conference

MEZ Mexican Restaurant
5410 Page Road
Chapel Hill, NC 27514
919-941-1630

Thursday, July 14, 2011

7:00-9:00 p.m.

Hosted by: The School of Medicine of The
of North Carolina at Chapel Hill,
Department of Anesthesiology,
Division of Cardiothoracic Anesthesia

Presented in conjunction with Duke University School of Medicine,
Department of Anesthesiology, Division of Cardiothoracic Anesthesia

Sponsored by: American Anesthesiology of North Carolina

Registration Information

Registration for this meeting is required but no CME credit is earned. Dinner is free of charge for fellows and residents. There is a $30 charge for faculty. Space is limited, so register early. Please fax or email your registration form to:

Laurel Alterman
CME Coordinator, UNC Department of Anesthesiology
CB#7010, N2201 North Wing, Chapel Hill, NC 27599-7010

Phone: (919) 966-5136
Fax: (919) 966-4873
Email:
lalterman@aims.unc.edu

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Registration Form

Name: __________________________________________________________

Title: ___________________________________________________________

Affiliation: _______________________________________________________

Address: ________________________________________________________

________________________________________________________________

Phone Number: __________________________________________________

Email Address: __________________________________________________

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Americans with Disabilities Act: The University of North Carolina at Chapel Hill is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees, on the basis of race, color, religion, sex, national origin, age, disability, veteran’s status, or sexual orientation. If you require reasonable accommodatiions for a disability in order to participate fully in this continuing education activity, please call (919) 962-2118 no later than 30 days prior to the conference date, or attach a note to your registration form.