![]() |
|||
|
|
PSRC SE District Seminar @ Abington Hospital Saturday, May 31, 2008 8:00am-12:15pm Co-Sponsored by: Viasys Critical Care Products (A division of Cardinal Health, Inc.) Pre-Registration - By Mail Pre-registration by mail with payment by check or money order must be postmarked by 5/24/08. To register by mail, print out this form, complete it and mail it along with a check payable to the "PSRC SE District Seminar" to: PSRC SE District Seminar c/o 225 Hampshire Drive Sellersville, PA 18960-2876 Name_________________________________ Credentials ____________________ AARC Membership #_____________________ (if non-member, write NON-Member) (if you don't know your number, send an email to officeman@psrc.net) Address___________________________________________________________ City _______________________________ State___________ Zip_____________ Telephone (Day) ___________________ E-mail ____________________________ Hospital/Business/School Affiliation_______________________________________ Questions? Send an email to officeman@psrc.net |
||