Registration Form

Updates on Lung Transplantation

presented by Dr. Asghar Khaghani,
Surgical Director of Heart and Lung Transplantation
& MCS at Spectrum Health Hospital

Wednesday, October 19, 2011
6:00 p.m. Light Refreshments

Grand Rapids Community College
Wisner-Bottrall Applied Technology Center
(Downtown Grand Rapids Campus)
151 Fountain Street NE
Grand Rapids, MI 49503

First Name*

Last Name*

Your Job Title

Your Workplace

Street Address*

City, State, Zip*

Your Email Address*

Your Phone No:

Your AARC No:

Select your CEU:

RT CEU

RN CEU

* Application has been made to the American Association for Respiratory Care (AARC) for
one continuing education contact hour for respiratory therapists.

Comments:

Registration is required. Space is limited.
* indicates required field.

PULMONARY ILLNESS: Trends & Treatment Series

REGISTRATION FORM