CANCERS OF THE BREAST AND OVARY
What the Oncology Nurse Needs to Know
Wednesday, April 9, 2008
Overview
Course Description
Faculty
Registration Information
Register for This Course
REGISTER FOR THIS COURSE
Step 1.
Answer all of the following questions.
Step 2.
Specify payment method.
Step 3.
Print this page and sign, if paying by credit card.
Step 4. Mail
with check or credit card information to the address below.
Name
Address
City
State
CA
Zip
Telephone
(include Area Code)
Email
RN/LVN License No.
Place of Employment
Work Telephone
(include Area Code)
Oncology Unit
MD Office
Outpatient Setting
Med/Surg Unit
Home Care
Hospice
Other
Payment Method
Enclosed is a check for $80 paid to: Bay Area Tumor Institute.
Please charge $80 to my credit card.
Visa
Mastercard
American Express
Discover
Exact Name on Card
Card Number
-
-
-
Expiration Date
Last 3 Numbers on Back
(if available)
Signature
(once printed)
Print and Mail to
Bay Area Tumor Institute
400 30th Street, Suite 301
Oakland, CA 94609-3305
Remember to include check or
credit card information and signature.
Registration deadline is April 3, 2008.
