NMUS 11.12.22 Fall Seminar Registration Form

FALL NMUS Seminar - 4 CME's Registration Form

Fill out the form carefully for registration
Full name (as shown on your registery)

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Sonographer/Provider E-mail for CME
example@example.com
Phone Number
Format: (000) 000-0000.
Company & Position
Registry# and type
SDMS # (optional)
RSVP type:
Would you like to opt in on future NMUS emails?
Payment type for CME's

Registration*

NMUS Fall Seminar

6 educational lectures (6 CME's)Breakfast

$25.00

Total

$0.00

FALL NMUS Seminar - 4 CME's Registration Form