San Francisco Bay Area Hand Club

Dinner Reservation Form

Dr. Don Lalonde

Epinephrine in the Hand: 15 years Without a Tourniquet

Friday, November 4, 2011
6:00 pm

 

Enclosed is my check for $45 for surgeons and $35 for therapists ($65 and $55 if received after October 27) payable to David Nelson, MD. Send to: Bay Area Hand Surgery Club, David Nelson, MD, 1363 South Eliseo Drive, Suite B, Greenbrae, CA 94904. DO NOT MAKE IT OUT TO THE BAY AREA HAND SURGERY CLUB, OR IT CANNOT BE DEPOSITED AND WILL BE RETURNED. There will be a $20 charge for returned checks.


Name_______________________________________________________________________

Address______________________________________________________________________

City_________________________________________________________________________

Phone_____________________________________ E-mail address _____________________

Choice of entree: Prime Rib____ Salmon ____ Vegetarian _____

 

The location will be the Bellevue Club, 525 Bellevue Avenue, Oakland, 94612. The social hour will start at 6:00 pm and dinner is at 7:00 pm.