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Community Medical School is back! Classes will be held the 3rd Tuesday of each month beginning October 15, 2013 through May 20, 2014.

You may register for one or more classes by selecting the class dates at the bottom of this form. These classes will be provided free of charge. However, you must register so that we have an accurate headcount.

Registration Form

You may register online or by printing this form and mailing to:
TTUHSC-Community Medical School
3601 4th Street Stop#6298
Lubbock, Texas 79430

Personal Information

* Required fields

*Title
*First Name:
Middle Name:
*Last Name:
*Street or PO Box Number:
*City:
*State:
*Zip Code :
(EX: 87877 or 87877-1234)
*Daytime Phone Number:
(EX:8881112345)
Personal Email:
   
Please select the appropriate option:
Note:All individuals should check in at the front table prior to each session to pick up conference materials and confirm attendance.
For questions, please contact TTUHSC Community Medical School at (806) 743-2008 or via email to cms@ttuhsc.edu







   

Telephone assistance is available Mon-Fri from 8:00am to 5:00pm at 1-806-743-2008.