PND / NIH Medical Symposium on
Pediatric Neurotransmitter Diseases
May 18th - 19th, 2002 Bethesda, Maryland
Symposium Registration Form

After filling in the information below, print this completed form and mail it, with the registration fee,
to the PND Association address located at the bottom of this page.
Registration Fee: Payable to PND Association in US Currency.
Registration includes symposium, continental breakfast, coffee break and lunch.
The NIH/FAES has approved this symposium for 10.5 CME category 1 credits.
No Fee - If you are a NIH employee or affiliate there is no fee.
Please provide NIH contact information below.
Personal Information
Please Check One
Dr. Prof. Mr. Mrs. Ms.
First Name:
Last Name:
(to appear on your 
conference badge)
Postal Code:
Business Telephone:
Require assistance:
The NIH/FAES is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians.
The NIH/FAES designates this educational activity for a maximum of 10.5 hours in category 1 credit towards the AMA Physician's Recognition Award.  Each physician should claim only those hours of credit actually spent in the educational activity.

If you require additional information or assistance in competing this form, please contact us at
(516) 937-0049 (phone and fax) or PND@PNDASSOC.ORG

After filling in the registration form, print the completed form and mail it, with the 
registration fee of $195 payable in US currency to the PND Association at:

The PND Association
Attn: Medical Symposium Registration
6 Nathan Drive
Plainview, NY 11803

            Symposium Main Page  
            Symposium Program Schedule 

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