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Research Update in
Neuroscience for Neurosurgeons

2011 RUNN Registration Form

Marine Biology Laboratory
Woods Hole, MA
October 30 - November 6, 2011

First Name
Last Name
Gender Male   Female
  (Required for housing placement.)
Status Resident   Neurosurgeon
Phone
Home Address
City
State
Zip
E-mail
Training Program
Program Director
Year in Training
Research Interests
Registration Fees
Residents
$1,600 (Private Room, Board and Tuition for one week).

$1,500 (Semi-Private Room, Board and Tuition for one week).

Attending Neurosurgeons
$1,700 ($350/day prorated for partial course)
Attendance Dates: Arrive
# of Nights Depart
Please note: Private rooms are limited and are available on a first-come first-served basis.

Please fill out this form, print and
mail with your check to:
Society of Neurological Surgeons/RUNN Course
Karen Koenig
RUNN Course Coordinator
Duke University
Box 3807
Durham, NC 27710
Phone(919) 684-3271 • Fax (919) 681-7973
E-mail: koeni002@mc.duke.edu

Registration Deadline: September 1, 2011

Registration Deadline is September 1, 2011

  • Registration MUST include a check for entire tuition.
  • Refunds (minus $150) until August 31, 2011 upon request.
  • No registration refunds will be granted after September 1, 2011.
  • Guests are Required to Pay the Registration FEE For Room and Board
    By the DEADLINE
  • If you wish to register after the deadline, call (919) 684-3271
    to see if space is still available

Copyright © 2008-2011 The Society of Neurological Surgeons