RegistrationDownload the Registration and Financial Disclosure forms by clicking here.
Please return the forms back to:
Make Check Payable to: Midwest ocular Angiography, Inc.
Submit Registration Form to:
Dr. Jennifer J. Kang-Mieler, PhD
Department of Biomedical Engineering
Illinois Institute of Technology
3255 South Dearborn Street
Chicago, IL 60616
When sending in your registration fee, please send Jennifer an e-mail (firstname.lastname@example.org), and let her know that your registration is forthcoming. Once received, an acknowledgement will be sent to you. Thanks.