SCBFC/SELCA Conference Registration
Event Timing: May 16th, 2017 9:00am-2:30pm CERPS pending IBLCE approval
Event Address: Piedmont Henry Hospital 1133 Eagles Landing Parkway, Stockbridge, GA 30281
Contact us at (678) 432-7917 or
4 sessions - SELCA Member $10
4 sessions - NON SELCA Member $30
4 sessions - Nursing/Medical Student $20
2 sessions- Selca Members only- FREE (only eligible to attend 10 am -12:30 pm)
Boxed Subway Lunch Options - add $10 to registration fee & choose meat, bread, side, drink from the options
None- I understand time to obtain lunch for the Lunch & Learn is minimal; I will bring my own food
Baked Lays Potato Chips
Cheddar Sun Chips
T-Shirt Order ($18) - Black shirt with the SCBFC logo
Payment Due via PayPal (payment must be RECEIVED by May 5th or registration will be cancelled)
Will pay via PayPal Friends & Family to
Will mail check prior to 5/1/17: SCBFC (c/o A. Orenczak, 615 Trestle Road, Locust Grove, GA 30248)
A copy of your responses will be emailed to the address you provided.
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