Requestor Training

Reservation Form

Tips for Completing the Form

Press the <Tab> key to move from one field to the next.
Press <Shift><Tab> to return to the prior field.
Warning! If you press the <Enter> key before reaching the end, this may result in your form being submitted with incomplete data. If this happens, simply return to the reservation form. If your data is still there, continue entering from that point. If the form has not recorded your responses, please start over.

Name
Title
Hospital
Department
E-mail
Work Phone
Cell or home phone (for last-minute contact)
Training session desired:
Alternate training session:

Press the Submit button below to e-mail the completed form to PNTB. If you wish to change data, you may backspace and type over it or press Reset to clear the entire form.

If you do not receive confirmation from this office within three (3) working days of submitting your request, please call Nancy Gowen at (503) 494-1044.

Thank you, and we look forward to seeing you!