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3-DAY MODULE - HIND PROXIMAL SUSPENSORY AND DISTAL HIND LIMB, MIDWESTERN UNIVERSITY, PHOENIX, ARIZONA February 14-16, 2019.

Thank you for attending the ISELP 3-DAY MODULE - HIND PROXIMAL SUSPENSORY AND DISTAL HIND LIMB, MIDWESTERN UNIVERSITY, PHOENIX, ARIZONA February 14-16, 2019.

The deadline to sign up to attend this event is January 14th.

 

Please be sure to register your company before the deadline. Your event contact will be Bob Cohencious, and he can be reached at iselpbob@gmail.com or (571) 233-2207. Remember that we will provide a table, two chairs, and meals for two attendees from your company. If you wish to bring more please indicate so below, but please be advised that there may be an associated fee.

 

Please take a few moments to fill out the information below.

 

Please be advised that this form is only to confirm the attendance of our CURRENT Global Sponsors listed below:

 

 

This form is for the above Global Sponsors ONLY.

Company Name
Attendee First Name
Attendee Last Name
Position
Email Address
2nd Attendee First Name
2nd Attendee Last Name
2nd Attendee Position
2nd Attendee Email Address
Please list any other emails you would like cc'd on future correspondence regarding this event.

As per your sponsor agreement, every sponsor is provided space and meals for two representatives from their company. If you would like to pay for additional representatives to attend there will be an additional charge per additional representative. If you would like to send an additional representative please check the below box and Bob Cohencious will be in contact with you to provide more information.

I would like to send an additional representative.

Please type in the below text.