MainFRONT DESK PROGRAM REGISTRATION Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2 specify pay Wills REGISTER: *Front Desk Program - $100.00Lunch - $55.00Henna Pryor Presentation at 1:10 p.m. - $0.00The Front Desk program concludes at 12 p.m. Attendees are invited to the Technician session presentation by Henna Pryor at 1:10 p.m. Attendee Name *FirstLastAttendee Email *Attendee is a Wills Eye Hospital EmployeeYesNoAttendee is with the following Wills Eye Service/Department/Practice *CPECCorneaGlaucomaNeuro-OphthalmologyOculoplasticsOncologyPathologyPediatricsRetinaBailey WeberKing of PrussiaPaoliRittenhouse/HarrisOtherIf Other, please specify the Wills Eye Department/Service/Practice *I will pay by:Credit CardCheckNextPAYMENT DETAILS Total$0.00To pay by check: Send payment to: Wills Eye Alumni Society 840 Walnut Street, 8th Floor Philadelphia, PA 19107 Credit Card Information *We accept Visa, Mastercard, American Express, and Discover.Contact Name *FirstLastContact Email *Company/Organization/Practice NameQuestions about registration? Please contact Susan Umfer, sumfer@willseye.org SUBMIT
