SAGES Webinar - Faculty RSVP

Please submit this form by requested due date. For any questions, contact Betty Mulugeta; ph 310-437-0544 x140 or email [email protected]

Webinar Date:*
Webinar Title:*
Faculty Name*
First Last
Course Participation:*
- YES I will participate in this Webinar
- NO, unfortunetly I am NOT available to participate in this Webinar
Your Email:
Office Phone #
Cell Phone #
SAGES Usage Agreement/Permissions
By agreeing to present at this SAGES webinar, I grant a perpetual, non-exclusive, worldwide, revocable, royalty-free license to SAGES to reproduce, distribute, and display my presentation on the SAGES website/portal, and for no other reason. I own and will continue to own in the future all rights, title and interest in and to the aforementioned media reproduced, distributed and displayed on the SAGES website/portal.
I agree

SAGES Webinar – Faculty RSVP