Updated: September 30, 2008
AORN Greater Houston
Chapter 4407
REGISTRATION FORM

CNOR Certification Preparation Course:
A Process for Perioperative Nursing Achievement

(13.0 Contact hours)

Saturday and Sunday,
October 25 & 26, 2008
8:00 am – 4:00 pm

Speaker: M. Renee Khalar, RN, BSN, MBA, CNOR

The Methodist Hospital – Dunn Tower
6565 Fannin Street
Rio Grande Room D1-059 (1st Floor)
Houston, TX, 77030

Sponsored by AORN Greater Houston # 4407
NAME:
AORN MEMBER #:
EMAIL ADDRESS:
(Confirmation of registration and payment will be sent via e-mail)
MAILING ADDRESS:
How to Register

Complete Personal Information form(s) below for each participant and pay via Paypal

                                  OR

Mail completed registration form, with payment information to:

    Nancy Allen
    1905 Willowbend Drive
    Deer Park, TX  77536-8902
PARTICIPANT 1
NAME:
AORN MEMBER #:
EMAIL ADDRESS:
(Confirmation of registration and payment will be sent via e-mail)
MAILING ADDRESS:
NAME:
AORN MEMBER #:
EMAIL ADDRESS:
(Confirmation of registration and payment will be sent via e-mail)
MAILING ADDRESS:
NAME:
AORN MEMBER #:
EMAIL ADDRESS:
(Confirmation of registration and payment will be sent via e-mail)
MAILING ADDRESS:
PARTICIPANT 2
NAME:
AORN MEMBER #:
EMAIL ADDRESS:
(Confirmation of registration and payment will be sent via e-mail)
MAILING ADDRESS:
PARTICIPANT 3
NAME:
AORN MEMBER #:
EMAIL ADDRESS:
(Confirmation of registration and payment will be sent via e-mail)
MAILING ADDRESS:
PARTICIPANT 4
NAME:
AORN MEMBER #:
EMAIL ADDRESS:
(Confirmation of registration and payment will be sent via e-mail)
MAILING ADDRESS:
$25 DISCOUNT PER REGISTRATION FOR A GROUP OF FOUR (4)!
REGISTRATION FOR GROUP MUST BE PAID FOR AT THE SAME TIME
AND/OR RECEIVED IN THE SAME ENVELOPE.
REGISTRATION FEES
1 - 3 Participants
4 or More Participants
AORN MEMBER DISCOUNT PRICING
 
 
  • $150 EARLY BIRD! BEFORE 9/26/08
 No longer available.
Expired 9/27/08.
 No longer available.
Expired 9/27/08
  • $175 AFTER 9/26/08
NON-MEMBER DISCOUNT PRICING
 
 
  • $200 EARLY BIRD! BEFORE 9/26/08
 No longer available.
Expired 9/27/08
 No longer available.
Expired 9/27/08
  • $225 AFTER 9/26/08
AT DOOR (CASH OR MONEY ORDER ONLY!)
 
 
  • $250
 
 
VENDOR:
VENDOR
REPRESENTATIVE
:
EMAIL ADDRESS:
(Confirmation of registration and payment will be sent via e-mail)
MAILING ADDRESS:
VENDOR TABLE (2 Days):  $300.00
VENDOR REGISTRATION FORM

Registration Fee: $300 per Participant

How to Register

Complete the registration form(s) below for and pay via Paypal

                   OR

Mail completed registration form, with payment information to:

    Patricia Rodriguez
    4206 Ponca
    Pasadena, Texas 77504

VENDOR REGISTRATION INFORMATION (Complete the form below)
ATTN: VENDORS
YOU MAY
REGISTER FOR
TABLES NEAR THE
BOTTOM ON THE
PAGE