Common Contracts

REGISTRY PARTICIPATION AGREEMENT

Registry Participation Agreement • July 8th, 2010 • Illinois

• Contract Type
  Registry Participation Agreement
• Filed
  July 8th, 2010
• Jurisdiction
  Illinois

THIS PARTICIPATION AGREEMENT (the “Agreement”) is made and entered into by and between American Society of Diagnostic and Interventional Nephrology (“ASDIN”) or its affiliated entities, a Delaware non- profit corporation, whose main office is located at 134 Fairmont Street, Suite B Clinton, MS 39056 and the individual or entity identified below (“Participant”).