LLN Lymphedema Education & Awareness Prog Registration I

Information about the organization, events and more!

Moderators: jenjay, Cassie, Birdwatcher, Senior Moderators

LLN Lymphedema Education & Awareness Prog Registration I

Postby patoco » Sun May 20, 2007 9:52 pm

REGISTRATION

Renaissance Waverly Hotel
Atlanta, GA
October 5-7, 2007


_________________________________________________
Name: Last First


_________________________________________________
Mailing Address


_________________________________________________
City State ZipCode


_________________________ ________________________
Home Phone Cell Phone


__________________________________________________
Email Address

A list of attendees will be made available to all participants. This list will include participant's name, address, telephone number and email address.

If you do not wish to be listed, please check this box ( )

Please sign up for one instructional Session in each
time frame.


Friday, October 5, 2007

1:00-4:00 PM Pre-conference Tour of garment manufacturing plant
sponsored by Sigvaris, Inc. Limited to the first 30 who sign up. { } Yes, I want to attend the tour { } No

5:00-7:00 PM Kick Off Party - includes Style Show and Silent Auction
Registration/Check-in * Exhibits { } Yes { } No

Instructional Sessions:

Saturday, 2:00 - 3:30 PM (1) { } (2) { } (3) { }
(4) { } (5) { }

Saturday, 4:00 - 5:30 PM (6) { } (7) { } {8} { }
(9) { }

Sunday - 7:30 - 9:00 AM

Early Morning Breakout Sessions: (please check one only)

* Head and Face Lymphedema { }
* Genital Lymphedema, Men { }
* Genital Lymphedema, Women { }
* Truncal Lymphedema { }
* Parent to Parent Networking { }

Instructional Sessions:

Sunday, 9:00 - 10:30 AM (10) { } (11) { } (12) { }
(13) { }

Sunday, 11:00 - 12:30 PM (14) { } (15) { } (15) { }
(16) { }

Friday, 1:00 - 4:00 PM Pre-conference tour of garment manufacturing plant sponsored by Sigvaris

Registration $100.00 per participant.

Please make checks payable to Lighthouse Lymphedema Network.

Professional, if you are applying for CEU's, please check here { }

Please send completed registration form and your $100.00 registration fee to:

Lighthouse Lymphedema Network
c/o Linda Harman
6851 Roswell Road, #j8
Atlanta, GA 30328

Please charge $_________ to my: VISA { } MasterCard { }

Expiration Date ______/______ ACCT# _______ - _______ - _______


Signature___________________________________________________


Hotel Reservations, call 770-953-4500 or 1-888-391-8724 and ask for
Lighthouse Lymphedema Network program to receive the conference rate of $129 per night.

Please call before September 6, 2007

For inquiries about the program or to exhibit, please call
1-800-349-9490 extension 11
CHERI HOSKINS, c/o Healthtronix Lymphedema Management.
patoco
Site Admin
 
Posts: 2175
Joined: Thu Jun 08, 2006 9:07 pm

Return to Lighthouse Lymphedema Network

Who is online

Users browsing this forum: No registered users and 3 guests