MRSO Course Initial Registration Question Title * 1. Attendee Contact Information First Name * Last Name * City & State (or Province) * ZIP/Postal Code Email Address * Phone Number * Question Title * 2. Select Course Date (Additional dates will be available later) June 25 - 26, 2024 August 27 = 28, 2024 Question Title * 3. Select Attendance Option In Person (Chattanooga, TN) Live Simulcast Question Title * 4. Select Profession Technologist Radiologist Physicist Other 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 by mail or check, use the registration form provided on the course webpage. Question Title * 5. Name on the credit card 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
