Skip to content
MRSO Course Registration: Siemens Customer
Attendee/Customer Information
*
1.
Attendee and Facility Information
(Required.)
Attendee Name
Facility Name
Siemens Equipment Order Number
Contact Name
Facility Address
City
State
Zip
Daytime phone
Evening phone
Mobile
Attendee
email (non-work email please)
*
2.
Select Course Date (Additional dates will be posted later)
(Required.)
July 21 - 22, 2026
September 1 - 2, 2026
November 3 - 4, 2026
*
3.
Select Profession
(Required.)
Technologist
Radiologist
Physicist
Other
4.
Comments or note
