Attendee Registration - 7th Annual SCC Meeting September 24, 2019 (7:00am - 4:15pm)
The Palace in Somerset
333 Davidson Avenue, Somerset, NJ 08873

Welcome- SCC Chairpersons: Marcy Sasso, CASC & Dorcie Wawrzynski, RN, BSN

A copy of your responses will be emailed to the address you provided. All correspondence will be sent to your email, or check our site for the presentations

Early Bird $200 - payment must be received by June 30th / After June 30th $225 / $325 from September 10th to same day registration
 

Email address *
First Name *
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Last Name *
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Title *
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How Name Should Appear on Badge *
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Are you registering for yourself or another person? *
Center Name *
Your answer
Town or City of Center *
Your answer
Phone Number *
Your answer
Type of Speciality *
Payment Information
Payment Information

Early Bird $200 - payment must be received by June 30th / After June 30th $225 / $325 from September 10th to same day registration

Payment is accepted by either PayPal or check

We accept payment via PaypPal (with an additional 2.2% + fees.

Mail checks to: Surgery Center Coalition 3210 Mattapan Ave Point Pleasant, NJ 08742
Be sure to include company name on check.

Payments must be received by June 30th.

Tax # 46-3110230 Non-Profit 501c

Will payment be through PayPal or by Check? *
Paypal Information
You will receive a confirmation email with the paypal link --
Early Bird $200 - payment must be received by June 30th / After June 30th $225 / $325 from September 10th to same day registration
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=G3EMA65TV4LSS
 
PAYPAL PAYMENTS: Includes 2.2% +$0.30 per transaction
A copy of your responses will be emailed to the address you provided.
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