We would like to hold our 2012 seminars at hospitals.
If your facility can accommodate 50 to 150 participants and has audio-visual capabilities, please fill out the form below.
First Name *
Last Name *
Address *
Address 2
City *
State *
ZIP *
Phone *
Alternate Phone
Fax
Email *
Preferred Contact *                  
Hospital Name *
Contact Name (Hospital Event Coordinator) *
Contact Phone *
Contact Email *
Please provide detailed information about the date and location *
 
After we review your inquiry we will contact you or your hospital event coordinator. Thank you!