ONLINE CONFERENCE REGISTRATION FORM

Yes! Register Me for Achieving Success in Women's Health Conference, April 10-12, 2005 at $569 and $509 for each additional person from the same hospital.    

ALSO REGISTER ME FOR THE FOLLOWING OPTIONAL SESSIONS:

Register Me for Preconference Session 1:
THE INNOVATION CAFE
Sunday Morning, April 10, 8:30 AM-Noon. Tuition: $159.00

Register Me for Preconference Session 2:
CREATING PHYSICIAN CHAMPIONS & MEDICAL STAFF SUPPORT    
Sunday Morning, April 10, 8:30-12:00 Noon, Tuition: $159.00

Register Me for Preconference Session 3:
OVER-THE-TOP WOMEN'S HEALTH FACILITY DESIGNS
Sunday Morning, April 10, 1:30 AM-5:00 PM. Tuition: $159.00

Register Me for Preconference Session 4:
HOW TO WRITE A WINNING BUSINESS PLAN
Sunday Afternoon, April 10, 1:30-5:00 PM. Tuition: $159.00

Note: If you register for a morning AND afternoon preconference session,
tuition for Sunday is $278.00 ($40.00 savings)

Register Me for Networking Dinner & Entertaining Speaker
Dinner: $37.50 - Sunday, April 10, 6:00 - 9:00 PM (One Contact Hour)

Register Me for Virtual Site Visit to Methodist Health System, Women's Services and Children's Hospital, Monday, April 11, 4:30-6:00 PM, $15.00
(One Contact Hour)

Name: RN? YesNo

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Payment Being Mailed Separately (Please include all optional event fees      above)

Please Invoice. Purchase Order No: