For Educators

Register for 05/09/2014, 11am EST VIEW ONLY (WEBEX) Surgical Suite: Total Knee

You will be connecting as a view only site to COSI's Surgical Suite program via Webex.


To load data from a previous registration, fill out the fields below and click the "Load" button.

Email Address

Registration Code

VIEW ONLY (WEBEX) Surgical Suite: Total Knee PLEASE NOTE ALL TIMES BELOW ARE LISTED IN EASTERN TIME (EST)

Event Date/Time

05/09/2014 @ 11:00am - 12:30pm

Cost of the program includes 1 kit of materials for up to 30 students. If you would like to purchase any additional kits, you may do so here.

$105.00@

Additional Kit of Materials

-$30.00@

No Kit

This is the address where we will ship your kit of materials. No P.O. boxes please.

Organization Name*

Organization Address*

Street Address

City

State / Province / Region

Postal / Zip Code

County

Country

Organization Name

Name*

First

Last

Title/Role

Address

Street Address

City

State / Province / Region

Postal / Zip Code

Country

Email Address*

Phone Number*

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Number of Students

Grade Level

Copy values from the previous contact.

Organization Name

Name*

First

Last

Title/Role

Address

Street Address

City

State / Province / Region

Postal / Zip Code

Country

Email Address*

Phone Number*

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Copy values from the previous contact.

Organization Name

Name

First

Last

Title/Role

Address

Street Address

City

State / Province / Region

Postal / Zip Code

Country

Email Address

Phone Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Copy values from the previous contact.

Organization Name

Name*

First

Last

Title/Role

Address*

Street Address

City

State / Province / Region

Postal / Zip Code

Country

Email Address

Phone Number*

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Fax Number

e.g.: 555-123-4567, or 555-123-4567 ext. 890

Below are your estimated fees for this program. Your invoice will be sent to the billing address provided above.

  Estimated Total
$0.00
  Video Conference Connection @ $285.00   $285.00
  Additional Kit of Materials @ $105.00  
  No Kit @ -$30.00  

Please add any additional information below (Ex: TWICE discount code, special shipping instructions, purchase order number).

Submit Registration