ITDHH 2020 Pre-Order Form
Deadline to order: February 14, 2020 Extra t-shirts will be available for purchase at the conference.
Email address *
Do you want to order a t-shirt?
Captionless Image
If you want to order a t-shirt, select the size(s) below
Would you like to have a custom listening stethoscope made? Cost $45 Sign up for time slot will come closer to the conference. It will take place Friday afternoon.
This is the one I had made many years ago at a conference.  It would be similar to this.
This is the one I had made many years ago at a conference. It would be similar to this.
Would you like to use Paypal?
Please provide the email address associated with your paypal account?
Your answer
Would you like to use a credit/debit card via Square?
What is a phone number we can call to process your credit/debit card?
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy