JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Nocia 2024 Spring Virtual Conference Registration
Event Timing: April 27, 2024 8:00am
Event Address: Virtual
Contact us at nociaboard@gmail.com
Students: $15
Sonographers: $30
Vendors: $100
paypal link for registration:
PayPal.me/nociaconference
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name (as it will appear on your CME certificate)
*
Your answer
Home address
*
Your answer
Email that you want your CME's sent to
*
Your answer
Phone number
*
Your answer
ARDMS or CCI Registry Number
*
Your answer
I am a:
*
Student $15
Sonographer $30
Vendor $100
I understand that I will pay my registration fee through PayPal and my registration will NOT be complete until this step is done.
You do not need a PayPal account in order to do this. Please pay with your name as registered.
PayPal link:
https://www.paypal.com/paypalme/nociaconference
Yes
You can also pay by scanning this QR CODE
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
