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Use upper and lower case letters exactly as you want your organization's name to appear in conference materials and signage.
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Company representative to receive all information regarding exhibits and the conference.
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Please provide your organization's website URL for inclusion in promotional materials.
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Make checks payable to OptumHealth Education Federal Tax ID: 30-0238641 Mail to: OptumHealth Education Attn: Bethany Severson MN101-W800 11000 Optum Circle Eden Prairie, MN 55344 (A mail service that provides tracking information is recommended.)
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Please enter your coupon code. If there is a balance due, also select the applicable form of payment (check or credit card). The discount will be applied during checkout.
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The application will not be accepted if you do not agree to the terms stated herein.