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Test
1.29.26 DHCFA Annual Meeting, Advocacy, and Compliance Education
Contact Completing Form
(Required)
First
Last
Phone
Email
(Required)
Organization
(Required)
Membership Level
(Required)
Member
Non-Member
$120 members | $160 nonmembers 3.0 CEs are being requested from NAB and the Delaware Board of Nursing.
How many attendees?
(Required)
How many attendees?
1
2
3
4
(Note: be sure to include yourself if you will also be attending)
How many attendees?
(Required)
How many attendees?
1
2
3
4
(Note: be sure to include yourself if you will also be attending)
Attendee 1: Name
(Required)
First
Last
Attendee 1: Title
(Required)
Attendee 1: Email
(Required)
Attendee 1: Dietary Needs
Gluten Free
Kosher
Vegetarian
Attendee 2: Name
(Required)
First
Last
Attendee 2: Title
(Required)
Attendee 2: Email
(Required)
Attendee 2: Dietary Needs
Gluten Free
Kosher
Vegetarian
Attendee 3: Name
(Required)
First
Last
Attendee 3: Title
(Required)
Attendee 3: Email
(Required)
Attendee 3: Dietary Needs
Gluten Free
Kosher
Vegetarian
Attendee 4: Name
(Required)
First
Last
Attendee 4: Title
(Required)
Attendee 4: Email
(Required)
Attendee 4: Dietary Needs
Gluten Free
Kosher
Vegetarian
TOTAL AMOUNT DUE
Payment Type
Credit Card
Invoice
CONFIRMATION: You will receive a conformation email after you submit this registration. CANCELLATIONS: There are no refunds for cancellations. Credit for a future training is available for facilities in survey during the event. Request for credit must be send in writing to education@dhcfa.org. No-show does not constitute a cancellation.
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