Munson Health
 
36th Annual Fall Perinatal Conference


Wednesday, October 3, 2012

Fee: $99 per person; Tuition includes morning coffee/tea, luncheon, handouts, contact hours, and certificate of attendance.
Registration deadline: September 19, 2012
Refund: Requests for refund will be honored (less a $20 service fee) if written notice is posted by Sept. 19, 2012.

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First Name
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Last Name
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Email
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Address1
Address2
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City
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State
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Zip
  
Degree/Certification:
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Work Phone:
Cell Phone:
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Employer:
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Are you a Munson Medical Center Employee?
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Payment Method:
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Amount Paid:
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Expiration Date:
Please provide your initials as your electronic signature:

To pay by check, please include your name and contact information and send to:
Munson Medical Center Women’s and Children’s Services
Attn: Annette Andres, MSN, RN-BC
Maternal Child Outreach Coordinator
1105 Sixth St.
Traverse City, MI 49684

 

For questions or more information regarding the conference, ADA, or grievance concerns, contact Annette Andres, MSN, RN-BC, at (231) 935-6763 or aandres@mhc.net.

 

Please register and pay for conference no later than September 19, 2012.
*Payment will reserve your seat at the conference.