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Continuing Education Conference - Implementing Innovation across the Healthcare Continuum
   

PHOTOGRAPHY WAIVER
I understand that Villanova University (the “University”) may, at its option, make photographs, videos or recordings during the continuing education conference, which may include my likeness or voice, and reproduce them in any and all publications of the University or College, including news releases or promotional materials, whether in print, electronic or other media, including the University and/or the College’s websites (the College’s Continuing Education website can be found at www1.villanova.edu/villanova/nursing/ce). By completing this registration application and participating in the conference, I hereby grant to the University and the College permission to make, use and distribute such items, and I waive any rights to seek payment or compensation.

Permission is given to share my contact information (name & employer address) with other conference participants Yes No         with Sponsors     Yes No

Your Position: specify primary interest areas (select one)
Clinical Leader Other

Concurrent Session Registration:

(Select one per line)
Wednesday November 13, 2013 5:00 P.M.
I plan to attend the poster reception at no charge with full conference registration payment  
Thursday November 14, 2013
1-A       1-B       1-C       1-D       1-E    
2-A       2-B       2-C       2-D       2-E    
3-A       3-B       3-C       3-D      3-E    
4-A       4-B       4-C       4-D       4-E    
5-A       5-B        5-C       5-D      
Friday November 15, 2013
6-A       6-B        6-C        6-D       6-E    
7-A       7-B       7-C       7-D      7-E    
CGEAN Business Meeting      
Saturday November 16, 2013
I plan to attend the working session at no charge with full conference registration payment


Conference Fees

Presenters ........................................................................................................ $449.00
CGEAN members Early Conference Registration by 10/16/13 ......CLOSED................... CLOSED
Planning Committee ......................................................................................... $400.00
Non-member Early Conference Registration by 10/16/13 ..........CLOSED..................... CLOSED
Non-member Conference Registration after 10/16/13 .......................................... $599.00
Graduate Student Conference Registration ......................................................... $499.00
Wednesday only............................................................................................... $135.00
Thursday only ................................................................................................. $239.00
Friday Only...................................................................................................... $239.00
Saturday Only.................................................................................................. $75.00
Total............................................................................................................. $
PAY BY CHECK                            PAY ONLINE
Special Accommodations

If you require special accommodations, please mark the box above and a member of the continuing education staff will contact you.

 
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