Name: PPE Dallas 2021 March
Start: 2021-03-26T08:00:00-04:00
End: 2021-03-27T17:00:00-04:00
Location: Dallas PPE Clinical Skills Workshop – Aloft Dallas Downtown Hotel

Group Planning Sheet

Complete this form to submit a group for discounted pricing and attendance.

Type the date and location of the program your group plans to attend*
Example: September 17-19, 2019 in Orlando
Type the name of the event planner*
First Last
This person will serve as the point of contact for the group.
Email Address of Event Planner*
Phone Number of Event Planner*
Group Information
Please submit the required information for each member of the group. This form must be completed and submitted for our planning purposes. We recommend completing this form once you have finalized your group list. You may add people to your group any any time - just send us an email. Group discounts will be applied once all members of the group have registered, or two weeks before the program date - whichever happens first. Group members who register within two weeks of the event may not qualify for discounts.
Please select the total number of people in your group.*
The event planner should be included in this list for the total count.
Name of Group Member 1*
First Last
Email of Group Member 1*
Name of Group Member 2*
First Last
Email of Group Member 2*
Name of Group Member 3*
First Last
Email of Group Member 3*
Name of Group Member 4*
First Last
Email of Group Member 4*
Name of Group Member 5*
First Last
Email of Group Member 5*
Name of Group Member 6*
First Last
Email of Group Member 6*
Name of Group Member 7*
First Last
Email of Group Member 7*
Name of Group Member 8*
First Last
Email of Group Member 8*
Name of Group Member 9*
First Last
Email of Group Member 9*
Name of Group Member 10*
First Last
Email of Group Member 10*
Name of Group Member 11*
First Last
Email of Group Member 11*
Name of Group Member 12*
First Last
Email of Group Member 12*
Name of Group Member 13*
First Last
Email of Group Member 13*
Name of Group Member 14*
First Last
Email of Group Member 14*
Name of Group Member 15*
First Last
Email of Group Member 15*
Name of Group Member 16*
First Last
Email of Group Member 16*
Name of Group Member 17*
First Last
Email of Group Member 17*
Name of Group Member 18*
First Last
Email of Group Member 18*
Name of Group Member 19*
First Last
Email of Group Member 19*
Name of Group Member 20*
First Last
Email of Group Member 20*
Name of Group Member 21*
First Last
Email of Group Member 21*
Name of Group Member 22*
First Last
Email of Group Member 22*
Name of Group Member 23*
First Last
Email of Group Member 23*
Name of Group Member 24*
First Last
Email of Group Member 24*
Name of Group Member 25*
First Last
Email of Group Member 25*
Name of Group Member 26*
First Last
Email of Group Member 26*
Name of Group Member 27*
First Last
Email of Group Member 27*
Name of Group Member 28*
First Last
Email of Group Member 28*
Name of Group Member 29*
First Last
Email of Group Member 29*
Name of Group Member 30*
First Last
Email of Group Member 30*
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Agreement
By submitting this form, you agree that you will, in good faith, ensure the members you have identified on this form will register for the program you have requested. You will receive a follow-up email after submitting this form with further information about our deadlines and booking requirements. By submitting this form you agree to notify us immediately if your group no longer plans to attend or has reduced in number, so we can plan accordingly with the other registered attendees outside of your group. Thank you again for choosing us for your education!

Conference Group Planning Page

Group Planning Sheet

Group Information

Agreement

PPE Orlando 2021 March

PPE Dallas 2021 March