EFTA02258997.pdf

To: Ile From: Sent: Tue 9/25/2018 9:04:03 PM Subject: Re: Credit Card Form - Dr. Paduch You received? A Sent from my iPhonc On Sep 25, 2018, at 2:44 PM, Crismely Ovalle . > wrote: Hi In case it is easier, attached is our credit card form. Feel free to email or fax it back to me tomorrow. Our fax number is Notify me if you will fax it over, so I can look out for it. Thank you, Cris Ovalle Sr.Medical Secretary Weill Cornell Medicine Department of Urology 525 East 68" Street, Starr 924A New York, New York 10065 <Untiticd.PDF - Adobe Acrobat Pro.pdf> EFTA_R1_01054595 EFTA02258997