Registration Information
First Name: required Last Name: required Street Address: Apt. Number: City: State: Zip Code: Telephone: required FAX: E-mail: Including yourself, how many will attend?
Peripheral Artery Disease - Wednesday, March 21, 2012
Submit a Question for the Doctor: The providers will address as many questions as time allows. Questions will be submitted to the team anonymously.
How did you hear about this class?
Choose One Please ADC Website Austin American Statesman Clinic Flyer e-Access notification Elevator Notice Event Calendar Facebook or Twitter Friend KUT, radio Physician Recommended Other
Form Submission
You've done it! You are now registered for an ADC class or seminar. Due to the number of incoming registrations we are unable to confirm registrations by phone. You will be notified by phone or email in the event of a cancellation.