Laboratory of Applied Pharmacokinetics
Optimizing drug therapy for populations and individual patients

Electronic registration form

I wish to register to attend the USC Workshop on

Principles of Pharmacokinetics - Parametric and Nonparametric Population PK and PD Modeling: Applications to Therapeutic Drug Monitoring and to Optimal individualization of Drug Therapy

3rd Floor Computer Classroom, USC School of Pharmacy, USC Medical Campus, 1985 Zonal Avenue, Los Angeles, California
February 21-23, 2002

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Payment

Registration ($395.00)
Get-together dinner Friday night ($30.00)

We can handle checks and foreign travelers checks in US dollars, electronic bank transfers, and credit card payments using PayPal. Please make checks payable to Roger W. Jelliffe, M.D..

Please mail your check directly to:

Roger W. Jelliffe, M.D.
Laboratory of Applied Pharmacokinetics
USC School of Medicine
CSC 134-B
2250 Alcazar Street
Los Angeles, CA 90033

Our phone is (323) 442-1300, and our fax is (323) 442-1302.

Please register early. First come are first served.
Registration is limited to the available spaces available.
Cancellations must be received by February 11th, 2002
in order to obtain a refund.

Last name^*
First name^*
Email^*
Institution
Address


Country
Telephone
Fax
	^* required information