Registration

Who Are you?
---TechnologistPhysicianOther

Your Name (required)

Institution

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What Siemens software/hardware platform do you use?

Describe your experience with magnetic resonance imaging.

Course Request Date
---January 24-26, 2020

*Minimum of 3 attendees required
*Confirmation of the course date will be sent 3 weeks in advance.
*Travel arrangements should be made AFTER confirmation has been received.

Course Payment
 Self Pay Siemens Pay

Check this box if interested in reduced rate lodging
 Yes I am interested

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