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E xp date Visa/MC last 3 digits on back AmEx 4 digits on front securit y no. signature office use only batch no. Or mail / fax this form to Register online acfas. org taking a scalpel to the evidence seminar November 6 and 7 2015 Renaissance Atlanta Midtown Hotel 866 West Peachtree Street NW Atlanta GA American College of Foot and Ankle Surgeons attn Education Department 8725 West Higgins Road Suite 555 Chicago IL 60631-2724 800-421-2237 800-382-8270 fax Hotel Accommodations For reservations...
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Information such as patient demographics, pre-operative diagnosis, surgical procedure details, and post-operative care instructions must be reported on acfasorg taking a scalpel.
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