Registration

Type of registration: *

Select a Track: *

Are you currently a Neurodiagnostic/IONM student? *

What is the name of your school/program? *

Attendee First Name *

Attendee Last Name *

Representative First Name *

Representative Last Name *

Credentials

Company Name

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Continuing Education

ISET has applied for Continuing Education Units from ASET.

Vendor Registration Fee $350.00 *

Online Payment

Mail in check

Attendee Registration Fee $60.00 per attendee *

Online Payment

Mail in check

Attendee Registration Fee $40.00 per student attendee *

Online Payment

Mail in check

Make checks payable to ISET, and mail to:

Coretta Shields
ISET
508 Hoxie Ave
Calumet City, IL 60409