Contact Us

Cyndie Griggs, OTR/L, CHT
310 East Broadway
P.O. Box 4596
Jackson, Wyoming 83001
Phone: (307) 734-2877
Fax: (307) 734-2827
tetonhandconference
@wyoming.com


Mike Cricchio,
MBA, OTR/L, CHT

3450 Hull Road
Gainesville, Florida 32607
Phone: (352) 273-7308
Fax: (352) 273-7327
criccm@shands.ufl.edu

Ski for Less!

All conference registrants
will receive discounted
ski tickets valid:
February 2nd-6th, 2010

Please complete all requested information in the form below to submit your registration and payment as a vendor for the 2010 Teton Hand and Upper Extremity Conference at Jackson Hole. Required fields are in bold.

Personal Information
First Name: Mailing Address:
Last Name: City:
Credentials: State:
Company: Zip Code:
E-Mail: Work Phone:
(ex: 352-555-1212)
Cell Phone:

Sponsorship Level
View Sponsorship Level Information (new window)
Level:

Travel/Guest Information
Arrival Date (if known):
Departure Date (if known):
Transportation (if known):
Spouse Attending:
Spouse Name (if attending):
Guest Name 1:
Guest Name 2:
Guest Name 3:

Please list any additional or special needs: