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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.)
May 5 - 6, 2026
*
3.
Select Profession
(Required.)
Technologist
Radiologist
Physicist
Other
4.
Comments or note
