Attendance for this Meeting will be limited, therefore, please register early. The registration fee for the workshop is $300, includes lunch and workshop materials. The registration fee for a Training Course is $700. The registration fee includes materials and lunches. Registration fee for the Workshop and a Training Course is $800. Enrollment will be limited, therefore early registration is advised.
| NAME | ____________________________________________ |
| Address | ____________________________________________ |
| ____________________________________________ | |
| City | ____________________________________________ |
| State, Zip Code | _______________________________________ |
| Telephone-Home | (____)_______________________________ |
| Work | (____)_______________________________ |
| ____________________________________________ |
| High and Ultra-High Field Imaging Workshop | $300.00 | __________ | October 14-16, 2011 |
| Multichannel Transmit B1 at High Field Training Course | $700.00 | __________ | October 12-13, 2011 |
| Spectroscopy Training Course | $700.00 | __________ | October 12-13, 2011 |
| fMRI and Connectivity Training Course | $700.00 | __________ | October 12-13, 2011 |
| Multichannel Transmit B1 at High Field Training Course and Workshop | $800.00 | __________ | October 12-16, 2011 |
| Spectroscopy Training Course and Workshop | $800.00 | __________ | October 12-16, 2011 |
| fMRI & Connectivity Training Course and Workshop | $800.00 | __________ | October 12-16, 2011 |
| Dinner at TCF Stadium, Speaker: Dr. David Van Essen | $40.00 | __________ | October 14, 2011 |
Make checks payable to: Minnesota Medical Foundation
Complete form and mail to:
Deborah Morgan
Center for Magnetic Resonance Research
2021 6th St. S.E.
Minneapolis, MN 55455
Cancellation and Refund Policy The University of Minnesota, Department of Radiology, reserves the right to cancel the conference if necessary. Refunds (less a $50.00 administrative fee) will be made upon written request before 9/1/2011.