Excelling as a Nurse Leader in Long Term Care

2010 Distance Education

Registration Form
October 2010 Start
OANHSS

 Please provide the following information for all staff  to be registered:

 
Names
Registrant's Email
Organization's Name
1.
2.
3.
4.
5.
6.

 

 

 

 

 

 

 

 

Manager Contact Name(s)

Manager Email(s)

# of Participants: @ = Total

Fee Structure
$395.50 each (all taxes included)

Please make cheque or money order payable to: Silver Meridian

 
Mailing Address: 

City  Prov.P.C.
Facility Phone  Fax

                                                          

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