MRI Registry Review Initial Registration Question Title * 1. Attendee Contact Information First Name * Last Name * City and State (or Province) * ZIP/Postal Code Email Address * Phone Number * Question Title * 2. Select Course Date (Additional dates will be available later) June 17 - 20, 2024 July 22 - 25, 2024 August 19 - 22, 2024 Question Title * 3. Select Attendance Option In Person (Chattanooga, TN) Live Simulcast After receiving the attendee information, an electronic invoice for payment will be sent to whomever you indicate below. Once the payment is received the registration will be confirmed. Registration will not be complete until payment is received. For payment you can use a credit/debit card or check. Question Title * 4. Select Payment Method Credit/Debit Card Check If paying by check, make payable to William Faulkner & Associates and send to 1554 Sedgefield Drive, Ooltewah, TN 37363 Question Title * 5. Name on the credit card or check that will be used for payment Question Title * 6. Email of person to receive the invoice for payment Question Title * 7. Comments or note Done
