You are invited to join us for part or all of a day of networking, education and the opportunity to influence nursing practice in our state.

For your convenience, you may print and fax the registration form or Register On-Line and pay at the door. If you are unable to attend, you may send someone in your place. Otherwise, you will be billed in accordance with the Cancellation Policy.

Thank you.

Name, Title (*)

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Organization

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Email (*)

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Select Program
September 10, 2010October 8, 2010November 15-16, 2010December 10, 2010
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Please select appropriate option:
(Some program prices are different than listed below. See calendar for specifics.)

Members:
$ 50 Business Meeting, Lunch and Program
$ 30 Business Meeting and/or Program only
$ 30 Business Meeting and Lunch only 
$ 30 Lunch and Program only 

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Non-members:
$ 60 Business Meeting, Lunch and Program
$ 40 Business Meeting and/or Program only
$ 40 Business Meeting and Lunch only
$ 40 Lunch and Program only

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Liason or Guest:
$20
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Indicate sponsoring member or organization

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Please make check payable to OMNE and mail to:
Dianne Swandal, RN, MSN VP Patient Care St. Joseph Hospital 360 Broadway Bangor, ME 04402 Fax (207) 907-1240 dianne.swandal@sjhealth.com	For your convenience, you may print and fax the registration form and pay at the door. If you are unable to attend, you may send someone in your place. Otherwise, you will be billed in accordance with the Cancellation Policy. Thank you.
Cancellation policy: Cancellations prior to three (3) days notice in advance of program will be refunded. Cancellations within three days will not be refunded and will be billed for balance due.