Trabectome Training Registration

STEP 1 - SELECT YOUR PREFERRED TRAINING SESSIONS

Please select two of your preferred training sessions.

Training Session	Agenda	Location	Trainer	Availability
05/20/2012 - 05/21/2012	View	Tustin, CA	Minckler/Baerveldt	CLOSED
Trabectome Surgery Seminar - Friday, June 1st, 2012	View	Herzliya, Israel	Mittelstein	OPEN
06/17/2012 - 06/18/2012	View	Tustin, CA	Minckler/Baerveldt	OPEN
07/15/2012 - 07/16/2012	View	Tustin, CA	Minckler/Baerveldt	OPEN
08/19/2012 - 08/20/2012	View	Tustin, CA	Minckler/Baerveldt	OPEN
09/16/2012 - 09/17/2012	View	Tustin, CA	Minckler/Baerveldt	OPEN
10/21/2012 - 10/22/2012	View	Tustin, CA	Minckler/Baerveldt	OPEN
11/18/2012 - 11/19/2012	View	Tustin, CA	Minckler/Baerveldt	OPEN
12/16/2012 - 12/17/2012	View	Tustin, CA	Minckler/Baerveldt	OPEN

STEP 2 - DETAILS

*I am a: DoctorPatientDistributorOther
*Operate From HospitalASCBoth Hospital and ASC
*First Name	*MI	*Last Name	*Credentials
*Company
*Job Title
*Address Line 1
*Address Line 2
*City		*State
*Zip Code		*Country
*Phone Number		*Fax Number
*E-mail Address
*Questions or Comments
* Required

STEP 3 - CONFIRM SCHEDULE

Please call me back

Please allow NeoMedix to call you back and confirm your preferred Training Session choice.