REGISTER EARLY!!! Training Classes limited! Please use one form per registrant  Choice   City  Date  Hotel Site  Hotel Phone # Phoeniz, AZ   May 31, 2001 OR June 3, 2001 Presenters: Sherri Vogler, Houston Medical Testing Services, Inc. and John Corpus, Prevea WorkMed The Wigwam Resort (800) 327-0396 Charlotte, NC   September 14, 2001 OR September 15, 2001 Presenter: Sherri Vogler, Houston Medical Testing Services, Inc.  Sheraton Charlotte Uptown (704) 372-7550 Sacramento, CA   October 5, 2001 OR October 6, 2001 Presenter: John Corpus, Prevea WorkMed Hyatt Regency Sacramento at Capitol Park (916) 443-1234 Cincinnati, OH   November 2, 2001 OR November 3, 2001 Presenter: John Corpus, Prevea WorkMed Regal Cincinnati Hotel (800) 876-2100 Registrant name: Company: Address: City: State: Zip: Phone: E-mail: Fax: Training Registration Fee Amount DATIA Member $199  DATIA member with discount* $149 Non-Member of DATIA $239  Non-member with discount* $199 Payment: VISA MC AMEX Check (must accompany registration form) Credit Card Number Expires Cardholder Name  *DISCOUNT POLICY When you register for both the Consortium Management Course and the CPCT Training Course, you may deduct $50 off of your CPCT Training Course registration fee. Both registration forms must be sent to DATIA at the same time/day with payment. Register via: EMAIL Click Submit Button Above FAX Fax: 703-519-1716 Postal Mail DATIA 1600 Duke Street, Suite 220 Alexandria, VA 22314 Questions Tel: 800-355-1257    About DATIA | Our Members | Education | Resources | News | Certification & Accreditation | Search | Contact DATIA | Join Now | Home