Thank you for registering for the Workshop on Teaching Healthcare Professionals in a Global Setting hosted by CHSC.
You may pay in full today or make a deposit and receive an invoice with instructions on paying the balance.
For more information please email or call our office at 903-962-4000 x3.

I would like to make a deposit of $65 today
and receive an invoice for the remaining balance
By entering the code "Deposit65" your total will be reduced to $65 today
and you will receive an invoice with your remaining balance.
Enter Deposit Code: "Deposit65"
Total: $0.00
Future Commitment: $0.00

For more information email or call our office at 903-962-4000.

Registrant Information
If registrant address is the same as Payer Information, please answer information after zip code.
(if attending with friend or spouse. Please note name and relationship.)

Do you give us permission to share your contact info with other attendees who would like to share transportation from the airport?

For the following sessions, participants may have the choice to join a didactic/content focused cohort (Group A) or a practice/discussion/feedback cohort (Group B).
Group B is offered for those who complete the online module(s) on the specific topic(s) prior to the workshop. Online modules are found Here and are free to CMDA members.

Please check the box next to each topic listed below for which you plan to complete the online module prior to the workshop and would like to join Group B. 

Payer Information
This is the address where your credit card statements are mailed.
A receipt will be e-mailed to this address.
Your Payment Information

VisaMasterCardAmerican ExpressDiscoverJCB


Powered by Acceptiva