Hosting Information

Please provide the name, email and phone number for the point of contact for the course.
Please enter the address where the course will be held. Include any suite or room numbers.
Please provide the mailing address and contact person, if different from above. This will be the location where we ship the course supplies. (Needles, gloves, sharps containers, booklets, etc.)
Please enter a number from 0 to 50.
Please list 1-3 hotels near the venue. If you are reserving a block of rooms or have a corporate rate please include information on how people can reserve the rooms.
Please let us know any other information about the venue or the area that will be helpful to the participants.