2nd Annual Show Me State ACDIS Conference

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October 14, 2017
University of Kansas Health System
School of Nursing, Room G013
3901 Rainbow Blvd
Kansas City, KS 66160

The Registration Process is 2 steps:
1 - Fill out this form to let us know you are coming, and
2 - Submit the Conference Registration Fee via our Square Store front @ https://squareup.com/store/missouri-state-acdis

Last Name: *

First Name: *

Credentials (RN, BSN, CCDS) *

Employer *

Address *

Email *

Phone Number: *

Are you an ACDIS member? *

Yes

Other membership

Required

Will you be attending the Friday night social event (including dinner)? Location to be determined. *

Yes

Any comments to share with the 1st Annual Show Me State Conference planning committee?

Submit

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