Patients Out of Time

Registration for the Seventh National Clinical Conference
on Cannabis Therapeutics, hosted by Patients Out of Time

April 26-28, 2012 - Lowes Ventana Canyon Resort - Tucson, Arizona, USA

First Name:
Last Name:
Academic Degree:
Organization/Company:
Address:
City:
State:
Zip/Postal Code:
Country
Telephone:
Email Address:
Registration Type:	Physician [$425] Nurses/Heathcare Professionals [$315] Patient & General Public [$215]
AFTER APRIL 1, there is a late registration fee:	Before April 1, 2012 [$0] After April 1, 2012 [+$100]
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