Back to the Basics: 
What Every Oncology Nurse Needs to Know

Wednesday, February 15, March 21 & April 11, 2012		  
Overview
Course Description
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 
Course Selection  
3 Courses $120
2/15/12 $30
3/21/12 $30
4/11/12 $100
Payment Method  
   
  Visa Mastercard American Express
  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 Feb 8, 2012.