The registration fee for one workshop is $150.00. Registration fee for both workshops is $200.00. The registration fee includes workshop materials. Registration for one workshop will include all breaks and one lunch, registration for both workshops will include three lunches and all breaks. The fee for the Training course is $600.00. Registration fee for one workshop and the Training course is $700.00. Registration fee for both workshops and the Training course will be $750.00. The Training course fee includes all processing and paradigm software that will be used in the course. The registration fee should be mailed with the completed registration form. Enrollment will be limited, therefore early registration is advised.

NAME______________________________________________

Name and degree(s) as they should appear on the CME certificate:

____________________________________________________

Address______________________________________________

____________________________________________________

City_________________________________________________

State, Zip Code_______________________________________

Telephone-Home(______)_______________________________

Work(____)__________________________________

E-Mail ___________________________________________

Registration Fees:

fMRI Training Course

$600.00__________October 14-15, 1999

Workshop on Principles and Applications of High Field Magnetic Resonance Imaging and Spectroscopy Techniques

$150.00__________October 15-16, 1999

Workshop on Magnetic Resonance Imaging of Brain Function

$150.00__________October 17-18, 1999

fMRI Training Course, plus both workshops

$750.00________October 14-18, 1999

Two Workshops together without training course

$200.00__________October 15-18, 1999

fMRI Training Course plus workshop on Principles and Applications of High Field Magnetic Resonance Imaging and Spectroscopy Techniques

$700.00_________October 14-16, 1999

fMRI Training Course plus workshop on Magnetic Resonance Imaging of Brain Function

$700.00_________October 14-15 and 17-18, 1999

Dinner with Speaker: Dr. Daniel Kersten

$25.00__________October 17, 1999

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

ACCME: The University of Minnesota is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The University of Minnesota designates this continuing medical education activity for 19.25 credit hours in Category 1 of the Physician's Recognition Award of the American Medical Association.

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 9/15/99. No refunds will be granted thereafter.