Camp Nurse Symposium Registration

Pre-registration is required to reserve a participation slot. Print a copy of this registration form for yourself after you fill it out and prior to clicking "next". After you submit to form, you will be taken to the payment options page where you can choose your registration options.

Descriptions marked with an asterisk (*) are required.

*Your Name (for name badge & mailings):
*Address:
*City:
*State/Province:	*Postal Code:
Country:
E-mail Address:
*Phone Number:		Day Phone Evening Phone
*Nursing License:	*State:
*Payment Type:	Credit Card Online Phone Check by Mail

See you at the Symposium & Seminar!

Camp Nurse Symposium Information
Symposium’s program schedule
Symposium & Seminar Online Registration - Register online and make payment online or by phone. Registration deadline is 31 March 2008.
Printable Symposium Information & Registration by Postal Mail - Fill out the form on the screen, print it and mail it with payment. Registration deadline is 31 March 2008.

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