MRSO Course Registration: Siemens Customer Attendee/Customer Information Question Title * 1. Attendee and Facility Information Attendee Name Facility Name Siemens Equipment Order Number Contact Name Facility Address City State Zip Daytime phone Evening phone Mobile Attendee email (non-work email please) Question Title * 2. Select Course Date (Additional dates will be available later) February 4 - 5, 2025 (LIVE ON LINE ONLY) April 8 - 9, 2025 Question Title * 3. Select Attendance Option In Person (Chattanooga, TN) EXCEPT FEB 2025 LIVE ON LINE ONLY Live Simulcast Question Title * 4. Select Profession Technologist Radiologist Physicist Other Question Title * 5. Comments or note Done