TACLS Online Registration Form
 Texas Association for Clinical Laboratory Science
13th Annual Clinical Laboratory Educators Conference
Omni Southpark Hotel  - Austin

Friday August 20, 2010 11:30 AM to 4:00 PM

Instructions:

  1. Complete all fields and select payment method.

  2. Click-on "submit" one time.

  3. You must complete the registration form and make payment for registration to be complete.

  4. Pay for registration by credit card using PayPal, or
    bring a check to the conference payable to     "TACLS"

  5. Refunds requests must be submitted by August 18, 2010

Lunch Friday August 20, 11:30 AM  $20.00    Continental breakfast Saturday $15.00
                                                                       

All Fields Required

First Name                Last Name  

College, University, or Hospital  

Address

City         State     Zip

 Your Email             

Paying with: credit card         check

Please Press Submit button ONLY ONCE.
You will be redirected to a confirmation page shortly.

                        

Recommend payments be made using PayPal immediately.

Please contact John Wentz jlwentz@sbcglobal.net if you have questions about this page.
Copyright © 2009[Texas Association for Clinical Laboratory Science] All rights reserved.
Revised: 07/05/10