Step 1 of 2 50% This field is hidden when viewing the formEvent NameRegistration TypeBETA MemberSpeakerBrokerName(Required) First Last Email(Required) Enter Email Confirm Email Professional Designation (For multiple selections, hold down CTRL and select all that apply)-Education/Degrees-B.A.B.S.B.S.N.D.N.P.D.O.D.P.T.D.P.M.J.D.M.B.A.M.D.M.H.A.M.P.A.M.S.M.Sc.M.S.N.Pharm. D.Ph.D.-Licenses-ARNPCNMCRNAEMT-PLCSWLVNOTPA-CPTRCPRNRNC-OBRPhRRT-Certifications-C-EFMCESCPACPECPHQCPHRMCPPSPHRPHRcaSHRM-CPSHRM-SCPSPHROrganizationTitleBehalf Registration I'm registering on behalf of this person Your Name First Last Your Email Please select the type of education credit that applies to you BRN CME CPHRM CHRM Not Applicable I understand that BETA Healthcare Group may take photographs at the Symposium or related activities. I agree to being photographed during event activities that may, or may not, be used in future marketing promotions or education. I AGREE to the use of my image in any photography taken at the BETA Annual Member Symposium I DO NOT agree to the use of my image in any photography taken at the BETA Annual Member Symposium
