WESTERN NEW YORK CHAPTER Association of Pediatric
WESTERN NEW YORK CHAPTER Association of Pediatric Hematology and Oncology Nurses requests The honor of your presence is requested for a dinner and presentation: “DRUG HYPERSENSITIVITY REACTIONS” by ANGELA SWANTEK, RN, BSN, OCN Sr. Clinical Nurse Educator Shire
WHEN: October 12, 2017 6pm WHERE: Black and Blue, 5493 Sheridan Drive, Williamsville, NY 14221 Other Info: RSVP by MONDAY OCTOBER 9, 2017. Late RSVP’s will be returned. Payments must be made in advance. -Sign-in, Networking at 6:00 pm -Dinner/Lecture at 6:30 pm -Please make checks payable to: Kathleen Orie, 31 Symphony Circle, Orchard Park, NY 14127 **Members - $10, Students- $10, Non member guests $25*** Please wear your work nametag to improve networking & socialization. In Case Of Absence, a Cancellation Notice of 48 hours is required SPONSORED BY SHIRE
January 2017
WNY APHON REGISTRATION/MEMBERSHIP FORM Name: ____________________________________ Date: _____________________________________ Title: _____________________________________ Employment: _______________________________ Highest Nursing Degree: AAS____ BSN____MSN___ DNP/PHD_____ APHON CERTIFIED: Y N (please circle) Address: ______________________________________________ Telephone Number_ (____) ___________________________________ Email Address: ______________________________________________ National APHON Membership Number and Expiration: _________________________________________________ Any other special Certifications: ________________________________ Are you interested in sitting for a committee, volunteering or fundraising? _________________________________________ Please mail this form with $25 yearly fee to Kathleen Orie, RN 31 Symphony Circle, Orchard Park, NY 14127
WHEN: October 12, 2017 6pm WHERE: Black and Blue, 5493 Sheridan Drive, Williamsville, NY 14221 Other Info: RSVP by MONDAY OCTOBER 9, 2017. Late RSVP’s will be returned. Payments must be made in advance. -Sign-in, Networking at 6:00 pm -Dinner/Lecture at 6:30 pm -Please make checks payable to: Kathleen Orie, 31 Symphony Circle, Orchard Park, NY 14127 **Members - $10, Students- $10, Non member guests $25*** Please wear your work nametag to improve networking & socialization. In Case Of Absence, a Cancellation Notice of 48 hours is required SPONSORED BY SHIRE
January 2017
WNY APHON REGISTRATION/MEMBERSHIP FORM Name: ____________________________________ Date: _____________________________________ Title: _____________________________________ Employment: _______________________________ Highest Nursing Degree: AAS____ BSN____MSN___ DNP/PHD_____ APHON CERTIFIED: Y N (please circle) Address: ______________________________________________ Telephone Number_ (____) ___________________________________ Email Address: ______________________________________________ National APHON Membership Number and Expiration: _________________________________________________ Any other special Certifications: ________________________________ Are you interested in sitting for a committee, volunteering or fundraising? _________________________________________ Please mail this form with $25 yearly fee to Kathleen Orie, RN 31 Symphony Circle, Orchard Park, NY 14127
