Camara P.Jones, M.D., M.P.H., Ph.D. - 5th Annual William T. Small, Jr. Keynote Lecturer - February 28, 2003
25th Annual Minority Health Conference
The University of North Carolina at Chapel Hill
Program for Ethnicity, Culture, and Health Outcomes (ECHO)
Hortensia Amaro, Ph.D. - Keynote Lecturer - 9th Annual Summer Public Health Research Institute and Videoconference on Minority Health - June 9-13, 2003
9th Annual SPHRIMH
   
 Your guide to minority health-related activities at UNC-CH
and elsewhere 
9th Annual Summer Public Health Research Institute and Videoconference on Minority Health
 

Form to order videotapes

Payment of $15 per tape (2-tape sets are $30; the entire set of 10 tapes is $120; all prices include shipping and handling) by check, money order, or credit card must be received for orders to be processed.

To order, complete this form and submit it online or mail or fax it with your check or credit card information to us at the address below. If you submit the form online, please mail your check or telephone your credit card information.

Mail, fax, or telephone your payment to:
 Office of Continuing Education  Telephone: 1-919-966-4032
Campus Box 8165 Fax: 1-919-966-5692
UNC-CH School of Public Health  
Chapel Hill, NC 27599-8165 State Courier Code 17-61-04

Please make the checks payable to "NCIPH"

Orders must be received by July 31, 2003.
We expect videotapes to be shipped by the vendor by September 30, 2003.

To request the videocassettes (VHS format only),
please provide the information below and then click the REQUEST TAPE button.
Items marked with an * are required.

*Name
*First
Middle
*Last
Job
Job title / position
Occupation
Agency
Name
*Mailing address 


*City

U.S. state

If not U.S.
Non-U.S. state or province
Country
*Postal code
*Postal code
Telephone
*Day telephone
(with area code)
Fax number
(with area code)

Which tape(s) would you like to receive?
(Individual tapes are $15 each; 2-tape sets are $30; the entire set of 10 tapes is $120.
All prices include shipping and handling.)
          Please send the full set of 10 tapes ($120)

          Please send the tapes checked below ($15 each)

Monday Tuesday Wednesday Thursday Friday
1:30pm Yvonne Maddox Charles Rotimi Anjani Chandra Antonio Estrada Fran Close
SEND  No  SEND  No  SEND  No 

SEND  No 

 SEND  No 
3:00pm Hortensia Amaro Olivia Carter-Pokras Adaora Adimora Michael Bird Otis Cosby
SEND  No  SEND  No  SEND  No  SEND  No  SEND  No 

E-mail Address 
I would like to receive announcements (maximum 12 / year) 
about minority health / public health events or news?     Yes  No 

Comments? 
   
 
Disclaimer
This form generates an unsecure email to the Minority Health Project, UNC-CH School of Public Health. 
 

 

Minority Health Project| Department of Maternal and Child Health
Campus Box 7445 | UNC School of Public Health | Chapel Hill, NC 27599-7445
Phone 919-843-6934 | Fax 919-966-6735| E-mail Minority_Health@unc.edu
Last Updated: 07/25/03 by Raj