Name Hospital or Organization Title Department Email Phone Dietary Needs/Restrictions Vegetarian? YesNo Vegan? YesNo Are you planning to participate in the group activity on Sunday, October 10 at 1pm? YesNo Would you like to participate in the Superior Analytics Key Metrics Review? YesNoMaybe **Participant information will be kept anonymous for User Group presentations, but can be provided privately at a different time. Participants will be notified of next steps via email. Symposium: $625/per person Payment Options Check FollowingPO PO Number Cancellations prior to September 9, 2021 receive 100% refund; cancellations after September 9, 2021 forfeit the full symposium fee of $625. I agree to the terms of this cancellation policy. Please contact Terri Garrett at Phoenix Data Systems if paying with Visa or MasterCard.