NeuroNetworking 2023 Attendee Registration

Register here for the 2023 NeuroNet-ASN Annual Meeting. If you are an industry representative, please contact Ashley Matecki to register for the event ([email protected] / 716-260-3760).

The program starts at 3:30pm on Thursday, January 26th, and concludes on Saturday evening, January 28th.

If you are interested in submitting a poster or being a panelist, more information will be released soon!

Name *

Email *

Phone *

Company Name *

Title *

Address *

Address Line 1

City

State

Zip Code

Are you a NeuroNet GPO or ASN member? *

Yes
No

What is your designation? *

Professionals (MD, DO, PhD, PharmD)
Practice Managers
APP
Technologists, nurses, affiliates
Resident/ Fellow/ Trainee/ Student
Active Military

Welcome member! What is your designation?

Professionals (MD, DO, PhD, PharmD)
Practice Managers
APP
Technologists, nurses, affiliates
Resident/ Fellow/ Trainee/ Student
Active Military

Will you be attending Saturday's Imaging Boot Camp Track by Dr. Laszlo Mechtler? *

Yes
No

Please list the topics you are most interested in learning about *

Total Amount

$0.00

Credit Card Information *

Card

Name on Card

The attendee list will be shared in early January. Please let us know if you'd like to be included! *

Yes, please share my name and affiliation
No, don’t share my name and affiliation

Learn from industry leaders

NeuroNetPro 2024