CNA Workshop

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CNA Workshop

Current CNA: Receive four hours of continuing education in your field

Certified Nursing Assistant Workshop

Module 1

Wednesday, February 24, 2010
9 am - 2 pm
Pharma-Care, Inc
136 Central Avenue - GSP 135
Clark, NJ 07066

$45 - VISA - MasterCard - American Express, or check accepted
Fee is non refundable

Fill out the information below, print, then: return via fax, mail. On simply click on the Submit My Registration. You may also call Maureen Ziegler at
732-574-9015 ext 105 / Fax: 732-499-6778

First Name
Last Name
Title
Facility Affiliation
Facility Address
Facility City/St/Zip Code
Facility Phone
Home/Billing Address
Home City/St/Zip Code
Home Phone
E-Mail
Fax Number
	If Paying by Check: Please make payable to Pharma-Care, Inc.
Credit Card Number		VISA/MASTER CARD/AMEX ONLY
Expire Date	(MM/YY)
Cardholders Name

NOTE: Credit Card Charges will not be placed without a phone confirmation from our event coordinator!