We are not able to accept online payments. Please remit your registration payment (cash or check) separately from your online registration by October 22nd, 2012 to:
Dr. Brian McMillen, ECCSFN Treasurer
Department of Pharmacology & Toxicology
Brody School of Medicine, 6S-10
600 Moye Blvd.
Greenville, NC 27834
Please note the following before you submit this registration form:
If paying by check, please make it payable to:
"Medical and Health Foundation of ECU" with "ECCSFN" in the memo line.
Late registration and payment will still be accepted at the door.
You will be notified via email upon receipt of payment. If you do not receive any notification within 3-5 days, please contact Dr. McMillen.
All fields indicated with "*" are required.