COEUS Registration Form

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COEUS Registration Form:

Last Name *

First Name *

Email Address *

City *

State *

Will you attend this meeting? *

Yes
No

Do you need a Hotel Room? *

Yes
No

Check-In Date *

February 13th
Other
N/A

Please see hotel deviation notes below

Date of Arrival Flight *

Arrival Time *

Airline *

Flight Number *

Check-Out Date *

February 16th
February 17th
N/A

Date of Departure Flight *

Airline *

Flight Number *

Departure Time *

Hotel Deviation Requests

Hotel rooms at the Eden Roc outside of meeting dates are currently not available, unless you pre-arraned with COEUS. If you have questions please contact Kristy Doherty and she will respond back to you on any of your hotel deviation inquiries

Do you have any allergies or dietary restrictions?

Will you need to take a new Headshot at the meeting? *

Yes
No

Jacket Size – Ladies

N/A
Small
Medium
Large
Extra Large
XX Large

Jacket Size – Men's

N/A
Small
Medium
Large
Extra Large
XX Large

CLICK HERE TO RETURN TO COEUS 2023 ANNUAL MEETING WEBSITE