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Perspective 2017 RSVP

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Welcome to OOSS Perspective 2017.  Complete the fields below to RSVP for yourself and/or your colleagues. Program details at: OOSS PERSPECTIVE 2017

Your Details

Name (Required)

Email (Required)

Affiliated ASC, Practice, Business or Association (Required)

Individual or Organizational NPI# (If Applicable)
The NPI# is required for sponsor Sunshine Act reporting

Additional Attendee

Name

Email

Affiliated ASC, Practice, Business or Association

Individual or Organizational NPI# (If Applicable)

Additional Attendee

Name

Email

Affiliated ASC, Practice, Business or Association

Individual or Organizational NPI# (If Applicable)

Additional Attendee

Name

Email

Affiliated ASC, Practice, Business or Association

Individual or Organizational NPI# (If Applicable)

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(To RSVP for more than 4 attendees, simply submit the form multiple times)