Registration: Advanced SPECTRALIS Hands-On Operator Course Title*MDODPhDOtherNoneFirst Name*Last Name*Email* Phone number*Company / Practice*Mailing Address*City*ZIP*State / Province*Country*DatesSPECTRALIS OCT Hands-On Operator Course* Portland, OR on August 3rd Minneapolis, MN on August 24th Ann Arbor, MI on September 14th About SPECTRALIS:Please indicate if your SPECTRALIS System has a touch panel:* Yes, my system has a touch panel No, my system does not have a touch panel (acquisition button on the joystick) Agreement* I agree that Heidelberg Engineering GmbH may transfer this data solely for the purpose of processing my registration to the distribution partner Heidelberg Engineering Inc.. Heidelberg Engineering Inc. is the fully owned subsidiary of Heidelberg Engineering GmbH in United States and processes data in compliance with local data protection laws and regulations. I confirm that I have read and accept the privacy policy. I understand that I can object to the use of my personal data with future effect at any time. I can address a revocation directly to the contact data stored in the privacy policy. With * marked fields are obligatory.SPECTRALIS OCT Hands-On Operator Course* Price: $295.00 Quantity: Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name