Nursing Network on Violence Against Women, International - Conference Online Registration Form

FOURTEENTH INTERNATIONAL NURSING CONFERENCE OF THE NURSING NETWORK ON VIOLENCE AGAINST WOMEN INTERNATIONAL

Conference Online Registration Form

Portland, Oregon - April 6-8, 2006

Name:
Title:
Organization:
Address
City:
State:
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Phone:
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Registration Fees & Requests
Vegetarian:	Yes No
Special Needs:
Group A: NNVAWI members and employees of community non-profit organizations	$150.00 $175.00 After 2/15/06
Group B: Students (undergraduate, graduate, PhD, post doctoral) and community-based victim advocates Registration fees for the conference may be waived for students/advocates who volunteer at the conference; advocates and community activists seeking reduced registration should contact Nancy Glass at glassn@ohsu.edu for additional information.	$100.00 $125.00 After 2/15/06
Group C: All others, including NNVAWI non-members, investigators, clinicians, employees of county and state health departments	$175.00 $200.00 After 2/15/06
Registration Fee Enclosed:

Cancellation Policy: There will be a $35 fee for all cancellations up to 10 days before the conference start date (April 6, 2006).

You may also register by mail...
Mail registration forms with check to:
NNVAWI Conference
Center for Health Disparities Research
Oregon Health & Science University
3455 SW US Veterans Hospital Road, SN-4S
Portland, Oregon 97239

Make checks payable to: NNVAWI

For more information or questions contact 503-418-3366 or chdr@ohsu.edu

Click here to return to main conference page.

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