banner08

 

FLUORESCEIN CONFERENCE

You are invited to participate in the Fluorescein and Interesting Retinal Cases Conference, which will be moderated by Charles Barr and Lucy Young. Cases will be presented between 5:00 and 7:00 p.m. on Thursday, September 25, prior to the welcoming reception. You can participate by submitting a case or by attending the conference. 

If you would like to submit a case, please include the title of your case on the form below. Presentations will be limited to 3 minutes with 3-5 minutes allowed for discussion of each case.  There will only be sufficient time for 20 cases.  Presentations will be included on a first-come first-served basis, but cases will be grouped by topic. We will send a final conference program to those who are presenting cases prior to the meeting.

Please submit this form by July 15, 2008
 

Presenter Information

First Name:

 *

Last Name:

 *

Degree(s):

 *

 

Address:

 *

 

 

City: *

  State/Prov.: *

Postal/Zip: *

      Country: *

Phone: *

          Fax:

Email:

 *

 

 

 

 

Title

 *

 

 

 

Brief Description

 

 

 

If you are experiencing any problems with the form please contact terry@x-cd.com