The registration of the undersigned and his/her continuance upon the rolls are subject to all rules and provisions set forth in the statutes and announcements of the University. Date:
PLEASE PRINT AND FAX COMPLETED FORM TO: (212)781-6047 OR MAIL TO: Center for Continuing Education Columbia University College of Physicians & Surgeons 630 West 168th Street, Unit 39, New York, NY 10032 Pathology PM 6 September 10-13, 2008 25367/30.0