Society for Airway Management Webinar - UNPLANNED EXTUBATION
1.
FULL NAME
2.
AGE:
*
3.
EMAIL ADDRESS (Obligatory) zoom link will be sent by email
(Obrigatório)
4.
TITLE/PROFESSION
5.
COUNTRY/STATE/CITY WHERE YOU PRACTICE
6.
DO YOU AGREE TO SHARE YOUR REGISTRATION INFORMATIONS WITH THE WEBINAR SPONSOR?
YES
NO
7.
ARE YOU A SAM MEMBER?
YES
NO
NO, BUT I WOULD LIKE TO BECOME A MEMBER
8.
WOULD YOU LIKE TO RECEIVE EDUCATION INFORMATION FROM SOCIETY FOR AIRWAY MANAGEMENT (SAM)
YES
NO
