Medical Video & Imaging Two-Day Tech School Registration

Registration Information

"Official" registration occurs when your name is entered into a specific event roster, which will generate an email automatically sent to you. If your business/organization requires official acknowledgement of your registration for this program, include a copy of that emailed document with this registration form. If anything additional is required, please use the contact information provided and we will do our best to provide whatever is required.

Whatever your method of registration, be sure to enroll right away
since space is limited. As soon as we receive your registration, we'll send confirmation of your place in this class. We'll be expecting you.

Attendee substitutions. Attendee substitutions may be made at any time.

Course Credits. Students who complete the Medical Video & Imaging Tech School course may apply for seventeen ASRT Category A Credits and/or two AAMI Credits.

To Print this Form. For your convenience, fill in the blanks on the form first, and then print. When you exit the page without pressing the "Submit" button, the form clears the blanks automatically.


Medical Video & Imaging 2-Day Tech School

Course Code: TS700-MED

Cost of 2-day Tech School: The full price of the Medical Video & Imaging tech school is $1495, but if you sign up using this web page, your price is only $950.

Session Date & Location:
Name:
Title:
Company/Organization:
Co./Organization Type:
Address Line 1:
Address Line 2:
City:
State:
Postal Code:
Telephone & Ext:
Fax:
Email Address:
Payment Method :
   
 
For details, contact:
Scott Reardon
Bapco/Sencore Account Mgr.  
Phone 605.339.0100 ext. 237 
mailto:scottr@sencore.com
Sencore, Inc.
3200 Sencore Drive
Sioux Falls, SD 57107
Phone 800.736.2673
Fax 605.339.0317



 

 

 

 




Medical Monitor Calibration

Five Easy ways to register
Phone: 1.800.736.2673
or 1.605.339.0100

On-line: Fill out this form
and press "Submit" button

Email:
sales@sencore.com
Include: Name & mailing address
Session you wish to attend
Course Code TS700-MED
Approving Manager
Billing Information

Fax: Fill out this form, print
and fax to the attention of
Scott Reardon: 1.605.339.0317

Mail: Fill out this form, print
and mail to: Sencore, Inc.
3200 Sencore Drive
Sioux Falls, SD 57107