Registration 2023 Southern CE Conference – Illinois State Society of Radiologic Technologists

Name*

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Preferred Email - (Students Must Use School Email)*

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Address*

Street Address City State / Province / Region ZIP / Postal Code

ISSRT Member Number

ASRT Member Number

Non-Member or Vendor (Enter last 4 digits of SSN)

Region*

Registration Type - (Select Member or Non-Member)*

Those registering as students are ineligible for ASRT continuing education credits.

School (Required for Educators and Students)*

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$0.00

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