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Fill out this form to register online for the NETS DAY CONFERENCE!

And then mail your check (made payable to UVA Fund)

to:

NETS CONFERENCE

C/O UVA Medical Transport Network
Box 800683
Charlottesville, VA 229008

cost of the conference:

$89 before April 23

$99 after April 23

$69 UVA Employees

Title* Mr. Mrs. Ms. Dr.

First Name*

Last Name*

Discipline*

RN NNP CNM RRT EMT MD Other

If Other enter here:

Phone*

Email Address*

Dietary Restrictions (If any)

Mailing Address*

Place of Employment

Check Which Breakout Session You wish to attend.*

Session I - Pharmacy: What's New in the NICU? Session II - Breastfeeding: What does it mean to be a "Baby Friendly" Hospital? Session III - Bereavement: Taking Care of the Caregiver

I need directions to the Omni

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Last modified on: March 9, 2007

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