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MediRoutes 2022 User Conference Sign-Up Form
Event Dates: September 22nd through the 25th, 2022
Event Address: Talking Stick Resort and Location - 9800 East Talking Stick Way Scottsdale, AZ 85256
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Your Name
*
Your answer
Company Contact Email
*
Your answer
Company Name
*
Your answer
What days will you attend?
*
Thursday, September 22nd (Evening Welcome Reception)
Friday, September 23rd (Conference Sessions - Day 1)
Saturday, September 24th (Conference Sessions - Day 2)
Required
How many users from your company will attend the daily conference sessions?
*
Your answer
How many individuals (including plus ones) will attend the conference dinners?
*
Your answer
Will You be Booking a Hotel Room On-Site at the Talking Stick Resort and Casino? (Conference Hotel)?
*
Yes
No
Maybe
How Many Rooms Will You Book at the Talking Stick Resort and Casino?
*
None
1 Room
2 Rooms
3 Rooms
4 Rooms
More than 4 Rooms
Please List the Names of Other Individuals From Your Organization Who Plan on Attending
Your answer
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