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Fax, email or post this form to the address 2026

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The document is a registration form for a two-day program organized by the University of Puerto Rico Medical Sciences Campus, detailing payment options, registration fees, and contact information. It specifies that early bird registration is $250 until April 30, 2010, and standard registration is $300 thereafter. The form must be submitted with payment details via fax, email, or post, as on-site registration is not available.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information. Fill in your first and last name, followed by your complete address including street, city, state, and zip code.
Provide your daytime telephone number along with your mobile and fax numbers if applicable. Ensure that all contact details are accurate for effective communication.
Next, indicate your profession or occupation and the department or division you belong to. This helps in categorizing registrations effectively.
In the payment details section, select the appropriate registration fee option: either Early Bird or Standard. Specify your method of payment by checking the corresponding box.
Finally, review all entered information for accuracy before submitting. Once completed, you can easily fax, email, or post this form using our platform’s sharing options.

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Fax, email or post this form to the address 2026

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Fax, email or post this form to the address 2026

Here's how it works

How to use or fill out Fax, email or post this form to the address with DocHub

Complete this form in 5 minutes or less

Got questions?

How to route a fax to an email?

Can you fax a document to an email address?

How can I get a fax to my email?

What is the difference between fax and email?

How do I fax to an email address?

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How do I fax a document to an address?

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