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Conference Signup
Conference Signup
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Name
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Email Address
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Physical Address
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Phone Number
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Credentials
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LPN
RN
RNC
NP
PA
MD
n/a
Organization
required
Guests
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Additional Guests
Guest Name
Guest Email
Guest Credentials
LPN
RN
RNC
NP
PA
MD
n/a
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Payment Options
required
MD $175
quantity
RN/LPN $150
quantity
Student $50
quantity
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