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HTM APPRECIATION RECEPTION AT ICE 2020

Monday, February 10, 4:30-7pm
Hilton Scottsdale Resort & Villas
6333 N Scottsdale Rd,
Scottsdale, AZ 85250

FREE ADMISSION
SPOUSES WELCOME!

*Hospital employees only*
*Does not include access to education or other ICE functions*

Name*
Title*
Hospital Name*
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Who is responsible for imaging decision making at your hospital?
Imaging Email
Spouse Attending?*
- Yes
- No
Spouses Name
First Last