4th Annual Rural Coding Roundup
Blanding Arts and Events Center CEU - San Juan Campus 715 West 200 South Blanding, Utah 84511
Name:
Address:
City: State: Zip:
Phone #:
Email:
Full Conference & Meals $100 Non-Student or Alumni $75 Student or Alumni
Break-out Session I (Thurs): Check ONE you wish to attend:
Break-out Session II (Fri): Check ONE you wish to attend:
1. Spinal Grafts, Fusions, & Instrumentation (G. John Verhovsheck) 2. PQRI (Rhonda Buckholtz) 3. Pain Management (Kris Simeona) 4. OB (Melanie Witt)
Break-out Session III (Fri): Check ONE you wish to attend:
1. Lesion Excision & Repair (Janalynne Thorley) 2. Abdominal Hernia Repairs (G. John Verhovshek) 3. Teaching Physicians (Suzan Hvisdash) 4. Pediatric Neurosurgery (Kris Simeona & Nancy Reading)
Do you want to reserve a dormitory room at the College of Eastern Utah (CEU); $40.00/suite (2 twin beds, 2 rooms, 1 bath, bring your own linen) YES NO
If Yes, single occupancy ($40) or double occupancy ($20\ per person)? (Check one) Roommate Preference (name):
Send payment (check or money order payable to CEU San Juan Campus) by May 5th to:
Rebecca Hughes CEU/SAN JUAN CAMPUS 639 West 100 South Blanding, UT 84511 Make Checks payable to CEU/San Juan Campus
FOR MORE INFORMATION: Rebecca Hughes: 435-678-2201 ext.8104 rebeccahughes@sjc.ceu.edu
College of Eastern Utah - San Juan Campus