APPLICATION FOR ENROLLMENT
A PRACTICUM IN MAMMOGRAPHY FOR TECHNOLOGISTS
Name:___________________________________________________________________________
Mailing Address:__________________________________________________________________
Day Telephone:_________________________Evening Telephone:_________________________
Dates of Course: September 29-October 3, 2003.
Please enclose the appropriate fee, payable by check or money order to Ryals and Associates, Inc.. Two weeks cancellation notice required for refund. If the course is canceled due to lack of participation, a full refund will be made.
Mail to: Ms. Georgina Barba
UCSD Healthcare Radiology
330 Lewis Street, suite 202
San Diego, CA 92103 |
