Peer to Peer Dinner Registration
Date: Sept. 05, 2019 - 6:30pm
Venue: Ruth's Chris, 2727 East 86th Street, Indianapolis, IN 46240
Please fill out the form for each member of your practice who wishes to attend, using a unique email each time if possible.
This dinner is open to all doctors, and 2-3 key staff members per practice.
First Name
Last Name
Practice Name
Email
Job Title OD MD Office Manager Optician Staff Other
Title:
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