Peer to Peer Dinner Registration
Date: Aug. 3, 2019 - 5:30pm
Venue: Nola, 535 Ramona St., Palo Alto, CA 94301
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 staff members per practice.
First Name
Last Name
Practice Name
Email
Job Title OD MD Office Manager Optician Staff Other
Title:
Comments