NC-SC INS Spring Seminar Registration

North Carolina / South Carolina Infusion Nurses Society

SPRING VENDOR FAIR    APRIL 17TH 2010

Registration Form

Whispering Pines Conference Center, 2 Club House Blvd, Whispering Pines, NC

 

Mail completed registration form with full payment by April 1st 2010 to:

 

Debbie Potts, 1675 Hwy 801, Woodleaf, NC 27054

 

Name

 

 

Address

 

 

City

 

State

                             

Zip

 

Phone

 

Email Address

 

Business

 

Address

 

City

 

State

                                    

Zip

                           

Email Address

                                                                                                                                      

Please Check All That Apply

 

NC Chapter Member

 

SC Chapter Member

 

National INS M ember

 

Member Number

 

RN

 

CRNI

 

LPN

 

Industry Rep

 

 

 

Registration Fee

$55.00 for NC-SC Members   Non-members $65.00

 

Payment must be received by April 1st 2010.  

 

For your payment you will receive breakfast, lunch, snacks and all seminar materials.  Please make check payable to NC Infusion Nurses Society.

 

Contact hours have been applied for from the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

 

Please make your own hotel reservations at one of the Pinehurst Area Hotels listed on the back of brochure.

 

Directions to Pinehurst and Whispering Pines Conference Center is listed on back of brochure.

 

NC-SC INS is Promoting "Going Green". You will receive copies of the 2010 handouts via email when registration and payment is received. Paper copies will not be available at the conference.