FSCCM Course Registration

Marco Island Marriot Beach Resort

September 3 thru September 4, 2011

Please enter all information to facilitate your course registration

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	Pre-registration	Day of Meeting
Physicians	$250.00	$275.00
ARNPs,RPhs & PAs	$150.00	$175.00
Other Health Care Professionals	$125.00	$150.00

FSCCM CONTACT INFORMATION
Florida Society of Critical Care Medicine and Mail to:
FSCCM
13012 Whisper Bay Place
Tampa, Florida 33618
Telephone: Charles G. Towater, Exec. Dir. (813)963-3867
Fax: (813)960-4602 E-Mail: fsccm1@verizon.net