Non-Member Meeting Registration
  1. You can fill out this SECURE Online form or you can download, print, fill out and mail with your check or credit card info to:
    Connecticut Orthopaedic Society
    Susan Schaffman - Executive Director
    26 Riggs Avenue
    West Hartford, CT 06107
    P: (860) 690-1146
    F: (860) 955-1178
    E: ctorthoexec@gmail.com



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  3. Attendee First Name:(*)
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  4. Last Name(*)
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  5. Second Attendee Name:
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  6. Practice:(*)
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  7. Practice Manager:
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  8. Address:(*)
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  9. City, State Zip:(*)
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  10. Email Address:(*)
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  11. Phone:(*)
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  12. Fax (optional)
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  13. Please Enter the Numbers(*)
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