Aspirus Regional Cancer Center

Oncology Conference Registration

Download Forum Brochure (PDF)

Registration is closed for the 2014 forum.

Registration Information
* Required

Are you an Aspirus Employee?*

Yes No

Employee ID
Required if you are an Aspirus Employee

First name*

Last name*

Title

Organization

Pharmacy Society of Wisconsin Member*

Yes No

Address*

City*

State*

Zip*

Work Phone

Email address*

Registration amount*

$25 - Non-Aspirus attendees
No Fee - Student: nursing, resident physician
No fee - Aspirus employees and Aspirus physicians, students and residents
A $25 fee will be charged to Aspirus employees who register and do not attend or do not cancel prior to Friday, April 4, and refunds will not be given to registrants who cancel after this date.

Payment - Due in advance
Make payable to Aspirus Regional Cancer Center
ATTN: Mary Kay Dreikosen
Aspirus Regional Cancer Center Fax: 715.847.2319
215 North 28th Avenue
Wausau, WI 54401