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Request to Attend conquest imaging class
Conquest Imaging is providing the CMIA membership with one FREE seat in all their training classes through December, 2010. To attend: First go to the Conquest Imaging web site class schedule to select a class and date you want to attend (with two (2) alternates). Second complete the simple CMIA application form below. The CMIA Board will notify you if you are selected to attend. If there are multiple requests for a class and date the Board will select the attendee. You must be a current member of the CMIA. Please make sure you can attend the class prior to applying so as to not deprive another member of taking the class. Transportation, meals and lodging are your responsibility. Registration is not transferable without the approval of the Board.
      all  items are required
  First Name:  
  Last Name:  
  Organization:  
  CMIA Chapter:  
  E-Mail:  
       
  First Choice & Date  
  Second Choice & Date  
  Third Choice & Date  
  Why do you wish to attend this class?  
       
   
 
 

 

 

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