Step 1

 

The C.A.S.T. Registration
Community Advocacy Site Training

Date:  Friday, April 4, 2014, 4:00 – 8:00 p.m.


Oak Cliff Bible Fellowship Educational Conference Center, 1821 W. Camp Wisdom Rd, Dallas, TX 75232
For Site Investigators, Clinical Research Coordinators, Nurses, CRO’s. ARO’s, Clinical staff, Et al.

 

Name of Organization
NOTE: Group Registration must be paid by check and mailed.

Participants

Names and Titles of paid participants
1.
2.
3.
4.
       

Name of Guest Clinical Professional: FREE

5.
  *workbook not included.    

Organization/Clinical Trial

   
Clinical Trial Disease
(i.e. Breast Cancer)
Study ID#/Type:
Name of Trial
Stage of Trial

Organization Information

Street Address #1
Street Address #2
City State
Zip Department

Principal Contact Information

First Name (*Required) Last Name:
Email (*Required) Phone:
Note: Payment will be made on the next screen.  
Number Attending

Cost: $250 per participant or
$150 each for 2 or more 

Last-minute  'pairs' discount: $250.00"

(Workbook, Directories, Light Reception & Dinner included)


Registration Deadline: Friday, March 14, 2014
For more information: Phone: 972-517-1254

Payment Amount
 

Reserve Early. Limited Seating
NOTE:  Only pre-registered participants will receive Workbooks and Certificates of Completion on day of event.
Day of event registrants will have a 2-week delay in receiving Workbooks and Certificates of Completion.