Symposium Registration

For registration, information and questions, please fill out this form and click submit.
PAYMENT WITH PAYPAL:
(If you would like to pay on-line, continue with Paypal.  If you have a gmail account, just sign in. Otherwise you will need to create a temporary account. You will receive confirmation of payment.)

PAY WITH CHECK
If you would like to pay with a check, click submit, but DO NOT continue with Paypal. Return to the symposium page, click registration form (pdf), download and print the form, fill it out and mail your check with the form to the printed address.

If you have any questions, please contact Chris Leveille, M.D. 860.524.7538
cleveille@charter.net