Belimed USA - Service Training Registration

Please fill out the information below:

1. Personal Information:
*Name:	Title:		*Hospital:

Address:	City:		State:

Zip:	*Email:

*Phone:	Fax:


2. Class
Which class or classes do you plan to attend:		Washers
		Sterilizers
		Conveyors
		Cart Washer

Will you be traveling:


What dates are you interested in attending?

Hotel reservations will be made by Belimed, INC, but it is your facility’s responsibility to arrange payment. Also, if there are any food allergies or medical requirements, please let us know.

Comments/ Questions

If you have any questions, please email Melissa at mcarr@belimed.us Thanks, and we look forward to seeing you!!

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