IVUSS Wet-Lab Registration

Each 1/2 hour session consists of personalized, one-on-one training by and expert in cardiac, non-cardiac abdomen or musculoskeletal ultrasound.

  • Date: June 21-22, 2007
  • Time: 1/2 hour sessions (Basic and Intermediate Cardiac and Abdominal)
  • Location: TBD
  • Cost: $100 (US) per 1/2 hour Basic and Intermediate Cardiac and Abdominal session

Instructions:

Please complete the registration form below. All fields are required. If you are registering for one session, you need not complete information in sessions 2-4. Registration is limited and is on a first come, first served basis. We will confirm your registration and will invoice you at that time. Please contact Ken Waller with any questions or concerns.
Prefix:
First: MI:
Last:
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Address:
City: State: Zip:
Country:
Telephone: Fax:
E-Mail Address:
Session 1:
Session 1, Time Preference:
Session 2:
Session 2, Time Preference:
Session 3:
Session 3, Time Preference:
Session 4:
Session 4, Time Preference: