Fall Program 2009 - SURVIVING HEALTHCARE ECONOMICS-- NU MU LA -- Meetings & Events

NU MU Chapter--Honor Society of Nursing at Cal State, Los Angeles

"Surviving Healthcare Economics"

Saturday, October 31, 2009
8:30 am - 12:30 pm

Cancellations received before October 23rd will have a 50% refund.

Mail-In Registration Form

Fill out this form and click "Submit."
This will create a printable page, with the mailing address, for you to mail with your check.

Registration Type:

$30 Member = STTI Members & CSULA Alumni Association Nursing Network Members

$35 Non-Member = Non-Member

$20 Student = Student

Name

   Registration Type Member   Non-Member   Student

RN License #

Address

City, State, Zip

Email Address

Contact Phone

I am unable to attend but please use this donation for NU MU Scholarships$
Enter dollar amount without dollar sign or decimal point.

If registering for more than one person, please add names of other attendees, or guests, and indicate their registration type:

Other Attendee 1

   Registration Type Member   Non-Member   Student

Other Attendee 2

   Registration Type Member   Non-Member   Student

Other Attendee 3

   Registration Type Member   Non-Member   Student

Other Attendee 4

   Registration Type Member   Non-Member   Student

Other Attendee 5

   Registration Type Member   Non-Member   Student

Other Attendee 6

   Registration Type Member   Non-Member   Student

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