Registration

Download 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
WH 314
Chicago, IL 60616

When sending in your registration fee, please send Jennifer an e-mail (kang-mieler@iit.edu), and let her know that your registration is forthcoming. Once received, an acknowledgement will be sent to you. Thanks.