The honor of your presence is request
WESTERN NEW YORK CHAPTER Association of Pediatric Hematology and Oncology Nurses requests: The honor of your presence is requested for a dinner and presentation: By Ryan Delettre, National Account Manager, Rare Disease Therapeutics on Purixan, Liquid 6 MP WHEN: Thursday February 16th, 2017 WHERE: Protocol Restaurant 6766 Transit Road, Amherst, NY 14221 716-632-9556 Other info:
RSVP by February 10th, 2017
Payments must be made in advance
Sign-in, Networking at 6:00 pm
Dinner/Lecture at 6:30 pm
Please make checks payable to: Kathy Orie, RN 31 Symphony Circle, Orchard Park, NY 14127 Members - $10, Students- $10, Nonmember guests $25*** Please wear your work nametag to improve networking & socialization. In Case of Absence, a Cancellation Notice of 48 hours is required Presentation and Dinner Sponsored by Rare TX
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
RSVP by February 10th, 2017
Payments must be made in advance
Sign-in, Networking at 6:00 pm
Dinner/Lecture at 6:30 pm
Please make checks payable to: Kathy Orie, RN 31 Symphony Circle, Orchard Park, NY 14127 Members - $10, Students- $10, Nonmember guests $25*** Please wear your work nametag to improve networking & socialization. In Case of Absence, a Cancellation Notice of 48 hours is required Presentation and Dinner Sponsored by Rare TX
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
