Event Title: Diving into Data…and coming out alive!
Location: Hilton Myrtle Beach Resort, Myrtle Beach, SC
Date: June 12-14, 2019

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NCOMS MEMBER NAME*
(2019 society dues must be current to register)

PRACTICE NAME*

MEMBER'S EMAIL ADDRESS*

WILL YOU ATTEND THE RECEPTION WEDNESDAY EVENING?*
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GUESTS ARE WELCOME AT A CHARGE OF $50 P/GUEST; WILL YOU HAVE GUEST(S)?*
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IF YES* - PLEASE FILL IN THE NUMBER OF GUESTS

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