First Name *

Last Name *

Email *

Organization *

EHR * Allscripts Cerner CPSI eClinicalWorks Epic GE McKesson MEDITECH NextGen Other

Cell Phone * By inserting your cell phone number, you agree to receive text notifications during the event regarding agenda reminders and general notifications.

Job Title *

Are you an executive? * Yes No

Are you interested in attending the Executive-exclusive events on Day 1? Yes No Please note that the Executive Events will begin at 2:00 pm CST on Sunday, August 6.

Are you interested in attending Solution/Product Training sessions on Day 1? * YesNo If yes, please note that the training sessions will begin at 4:00 pm CST on Sunday, August 6.

Please list any dietary restrictions or allergies: *

The Line Hotel is a pet-friendly establishment. Are pet allergies a concern? * YesNo The Line is able to make room accommodations for those that have pet allergies.

Are you planning on extending your stay in Austin? * Yes No

What days will you be arriving and departing? Please list. Note that the standard registration cost only includes the days of the Summit. All other days must be paid for out of pocket.

How did you hear about the Customer Summit?

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Comments

By clicking "Register Now" you will be invoiced and are agreeing to NET30 terms and conditions and that your balance will be paid before acceptance into event is allowed. Summit registration is not refundable; however you may transfer your registration to someone else within your organization or apply funds to the 2024 registration fee. If you cannot attend, please send an email to Nikita Contelmo.