Regional Workshops Registration 2017
Please choose which Regional Workshop you will be attending:
September 7th:
Marshall, MN (Southwest Minnesota State University)
September 19th:
Owatonna, MN (Holiday Inn & Suites Owatonna)
October 4th:
Detroit Lakes, MN (Holiday Inn on the Lake)
October 24th:
Duluth, MN (Holiday Inn & Suites Duluth Downtown)
Please answer question 1 before continuing.
Please enter the following information to register for our Stroke/STEMI Regional Workshops.
Name (First and Last):
Credentials:
Job Title:
Hospital/Agency/Affiliation:
City:
Email address:
Re-enter your Email Address:
Phone Number:
Special Accommodations: dietary restrictions, handicapped-accessible, etc.
Please answer question 2 (Name (First and Last):) before continuing.
Please answer question 2 (Credentials:) before continuing.
Please answer question 2 (Job Title:) before continuing.
Please answer question 2 (Hospital/Agency/Affiliation:) before continuing.
Please answer question 2 (City:) before continuing.
Please answer question 2 (Email address:) before continuing.
Please answer question 2 (Re-enter your Email Address:) before continuing.
Please answer question 2 (Phone Number:) before continuing.
Please answer question 2 (Special Accommodations: dietary restrictions, handicapped-accessible, etc.) before continuing.
Please indicate your area(s) of interest:
Stroke
STEMI
Stroke and STEMI
Please answer question 4 before continuing.
Please select at least 1 choices for question 4.
Please check the box below if you would like to be added to our listserv for more communications about stroke and STEMI in Minnesota.
Yes, I would like to add my information to the listserv