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Topic:
COURSE II - Reducing Accidents & Falls
Increasing Functional Status &
Eliminating Deficiencies
Presented by:
Janis Breedlove, RN, LHNA, LTC Consultant
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Registration Fee: $139 per person
per course
(Register 3 people and send the 4th FREE! - Valid for same date and
location ONLY)
LUNCH INCLUDED
MEETING SPACE IS LIMITED - REGISTRATIONS WILL BE
PRIORITIZED BY POSTMARK DATE
--$35.00 handling
fee applies if individual cancels within 3 business days of seminar
date.
No admittance to seminar without pre-payment or credit card
guarantee received before seminar date.
Registered "NO SHOWS" forfeit right to refund.
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| Please check location of choice: |
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9/22/04
Sheraton Milwaukee Brookfield Hotel * 375 S. Moorland Rd.
* Brookfield, WI 53005
(262) 786-1100 |
**Please
print**
FACILITY______________________________________________________________
ADDRESS_____________________________________________________________
CITY____________________________
STATE________ ZIP CODE______________
PHONE(_____)________________________ FAX_____________________________
1)____________________________________________Title____________________
2)____________________________________________Title____________________
3)____________________________________________Title____________________
4)____________________________________________Title____________________
5)____________________________________________Title____________________
Please note that we are unable to acknowledge
registrations. You are enrolled unless otherwise
notified.
Fax: @
1-800-886-1405** Phone in: @
1-800-886-0241**
Mail to: "The Institute" Dept. of
Education,
60 Presidential Plaza, Suite 108, Syracuse, NY
13202
PAYMENT METHOD - Please check
one:
___Check ___Money Order ___Voucher ___Visa
___Master Card ___Discover
Credit Card
#_____________________________Expiration
Date________________
(name
of cardholder)____________________________ Signature____________________
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