Veterinary And Comparative Pharmacokinetic Workshop: Registration

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Registration Form

VETERINARY AND COMPARATIVE PHARMACOKINETIC WORKSHOP

October 11-13, 2007

Raleigh, North Carolina

Full Name	_________________________________________________
Address	_________________________________________________ _________________________________________________ _________________________________________________
City	_________________________________
State	_________________________________
Zip Code	_________________________________
Affiliation	_________________________________________________
Telephone	_________________________________
Fax	_________________________________
E-mail	_________________________________

A block of hotel rooms has been reserved for this workshop that is to be held at the Blue Ridge Ramada Inn, 1520 Blue Ridge Road, Raleigh, NC 27607. Telephone: (919)-832-4100. Attendee is responsible for making accommodation reservations directly with this hotel.

Please indicate that you are affiliated with the "Pharmacokinetic Workshop."

To reserve your place in this workshop, please return this completed form along with a check made payable to "Riviere Consulting" for $1,400.00. Refunds with cancellations can only be accepted through September 14, 2007. Mail to:

Pharmacokinetic Workshop
Riviere Consulting
P.O. Box 30474
Raleigh, NC 27622

Registration deadline is September 14, 2007.