Rural GME Coordinator Leadership Institute - 2023

home/Services/Registration

REGISTRATION FORM

Rural GME Coordinator Leadership Institute - 2023

Billing Information

Hospital/Organization/Business

First Name

Last Name

Hospital/Organization/Business Address

Hospital/Organization/Business Address 2

City

State

Zip Code

Phone Number

Email Address

Registration Information

No: Participant(s) Required

Registration Fee (select your role)

Rural GME Coordinator Leadership Institute Participant (+$300.00)Coordinator Leadership Advisory Committee Member (fee waived)

Cancellation Policy: Cancellations received up to two weeks prior to a program will receive a full refund, less a $25 processing fee. No refunds will be given for cancellations received less than two weeks prior to the program. Substitutions are accepted

I understand.

This event has already occurred and is not accepting any additional registrations.