Course Registration

Fill out the form below to register for one of our upcoming courses. Items marked with an * are required.

 

Full Name*
   
Organization/Hospital*
   
Address*

   
Address 2 (optional)
   
City*
   
State*
Zip*  
   
Daytime Phone*
   
Fax
   
Email*
   
Specialty
   
ACEP Member?



   
Date and Courses you are registering for*
   
Comments

  

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CANCELLATION POLICY: Cancellations will be accepted in writing up to one month prior to the course start date. Any cancellations within a month of the first day of the course will be refunded 50% of the registration fee.

INQUIRIES: Contact John Kendall at John.Kendall@rockymountainultrasound.com