Conference Call Registration

Password

Select Conference Call(s):

	3/20/08 Xeris Training Web-teleconference @ 1:00pm EST
	4/03/08 Orientation Web-teleconference @ 12:00pm EST
	4/17/08 Xeris Training Web-teleconference @ 1:00pm EST
	5/01/08 Orientation Web-teleconference @ 12:00pm EST
	5/15/08 Xeris Training Web-teleconference @ 1:00pm EST
	6/05/08 Orientation Web-teleconference @ 12:00pm EST
	6/19/08 Xeris Training Web-teleconference @ 1:00pm EST
	7/03/08 Orientation Web-teleconference @ 12:00pm EST
	7/17/08 Xeris Training Web-teleconference @ 1:00pm EST

Conference Call Coordinator:
(Clinical Director Recommended)

First Name:

Last Name:

Hospice:

E-mail:

Phone:

Fax:

How would you llike to receive the presentation materials?:

Fax
E-mail