To indicate your interest in attending Southcoast Health’s Virtual Annual Meeting on Tuesday, December 14th, 2021 at 5pm complete and submit the information below. Please RSVP by December 10th to guarantee your spot.

You will receive a confirmation e-mail once you have completed your reply with additional information on how to download Microsoft Teams, the platform that will be used to facilitate this year’s Annual Meeting. Please be sure to check your spam/junk mail folder in the event this confirmation is routed there.

If you have questions or need any assistance please contact Southcoast Health Events by e-mailing events@southcoast.org.

Thank you!

Annual Meeting Registration Form

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code