Trabectome Training Registration
STEP 1 - DETAILS
*First Name
MI
*Last Name
*Post Nominal Letters
*Associated Institution/Clinic/Hospital
*Job Title
*Address Line 1
Address Line 2
*City
*State
*Zip
*Country
*Telephone
Fax
*E-mail

* Required

 

STEP 2 - SELECT YOUR PREFERRED TRAINING SESSIONS
Please select two of your preferred training sessions.

First ChoiceSecond ChoiceTraining SessionAvailabilityLocationTrainer
3/14/2010 - 3/15/2010CLOSEDTustin, CAMinckler/Baerveldt
04/08/2010 (ASCRS 2010 Training)CLOSEDWorcester, MAZacharia
4/18/2010 - 4/19/2010CLOSEDTustin, CAMinckler/Baerveldt
5/1/2010 (ARVO 2010)OPENMiami, FLNguyen
5/16/2010 - 5/17/2010OPENTustin, CAMinckler/Baerveldt
6/20/2010 - 6/21/2010OPENTustin, CAMinckler/Baerveldt
7/18/2010 - 7/19/2010OPENTustin, CAMinckler/Baerveldt
8/15/2010 - 8/16/2010OPENTustin, CAMinckler/Baerveldt
9/19/2010 - 9/20/2010OPENTustin, CAMinckler/Baerveldt
10/17/2010 - 10/18/2010OPENTustin, CAMinckler/Baerveldt
11/14/2010 - 11/15/2010OPENTustin, CAMinckler/Baerveldt
12/19/2010 - 12/20/2010OPENTustin, CAMinckler/Baerveldt

 

STEP 3 - CONFIRM SCHEDULE


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


 
 
 
 
 
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