2021 Spring Seminar Series Registration Form

Society of Otorhinolaryngology and Head-Neck Nurses

35_th Annual ORL Nurses Spring Meeting

April 8 & 9, 2021

Last Name *

First Name *

Credentials

Address *

Country

City

State

Zip code

Email *

Phone Number *

Backup Phone Number

Registration Fees *

$275 – Entire Educational Program (Thursday and Friday) – SOHN Members (2021 membership dues must be paid)

$150 – Pediatric – Thursday Only – SOHN Members (2021 membership dues must be paid)

$150 – Adult – Friday Only – SOHN Members (2021 membership dues must be paid)

$400 – Entire Educational Program (Thursday and Friday) – SOHN Non Members

$225 – Pediatric – Thursday Only – SOHN Non Members

$225 – Adult – Friday only – SOHN Non Members

$125 – Entire Educational Program (Thursday and Friday) Full time student and Retired SOHN members (full time student must provide proof of enrollment)

SOHN annual membership dues are just $125 USD

I have submitted a SOHN membership application and request the Member Rate

If you wish to join or renew your SOHN membership to receive the member rate.

Please note that below and follow this link Join or Renew online (application) « SOHN Nurse to complete a membership form.

Checks Payable to:

SOHN
362 Gulf Breeze Pkwy, #137
Gulf Breeze, FL 32561

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Example: 2025

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Address

Apt, suite, etc.