THE 11th ANNUAL MASSACHUSETTS PROSTATE CANCER SYMPOSIUM - REGISTRATION, Thursday, may 15, 2008

DEADLINE: April 30th, 2008

You may also mail or fax your completed registration information to:
MPCC, c/o Green Associates
200 Lincoln St., #201,
Boston, MA 02111
617-482-3044
info@masspcc.org

Click here to download a PDF registration form.

BY FAX: 617-482-3049 (Please include complete registration information)

CONTRIBUTIONS
The Symposium is funded, in part, by sponsorships. Registrants are invited to make a voluntary contribution of $25.00 to partially underwrite the cost for meals. Gifts of $60 or more will include a one-year membership in MPCC.

Gifts to the Massachusetts Prostate Cancer Coalition, a 501 c-3 public charity, may be tax deductible to the extent allowed by law. (MPCC Tax ID: 04- 6946891).
 
  Online Registration
Name   *
Organization  
Address  
City  
State  
Zip  
Phone  
Fax  
Email   *

Number of people attending (Including   yourself).
  Want to attend the 2008 Prostate Cancer Symposium on Thursday, May 15, 2008. There is no fee for the Symposium
  Plan to stay for lunch. There is no fee for lunch, but attendees are invited to make voluntary contributions of $25 to partially underwrite the cost for breaks and for lunch.
  Would like subsidized parking. The Symposium will underwrite all but $10 of the parking fee at the Marriott for the first 300 people who request it. You will need to pick up the voucher for parking at the time of registration.

Contribution
$25.00 per person for lunch (Optional)
$10.00 for parking
$60.00 (includes one-year membership in MPCC)
Additional Contribution
Total

Names of Others Attending: (Please separate the names by a comma.)

Credit Card Information
Card Type: *
Name on Card:   *
Card Number: *
(No Dashes or Spaces)
Exp Date: * *
 
Members are invited to participate in a periodic enewsletter, featuring information from the annual spring symposium and the fall Conquer and Cure dinner as well as related topics.

MPCC produces an enewsletter for members and friends. Click here for the latest edition.

To receive the this enewsletter, please enter your address below and click submit.



www.fightprostatecancer.org

www.4NPCC.org

www.Malecare.com

Massachusetts Prostate Cancer Support Groups

www.NASPcc.org

www.PAACTusa.org

www.PCRI.org

www.ProstateCancerFoundation.org

www.ProstateForum.com

www.ProstateHealthEd.org

www.UsTOO.org
 
     
© Copyright © 1999-2008. Massachusetts Prostate Cancer Coalition, Inc. All Rights Reserved.