Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

North Carolina Oncology Association - NCOA/SCOS Joint Membership Conference

267 views

Published on

  • Be the first to comment

  • Be the first to like this

North Carolina Oncology Association - NCOA/SCOS Joint Membership Conference

  1. 1. Registration Form NCOA & SCOS JOint Membership Conference Three ways to register: 1. Register online at www.ncoa-northcarolina.com or www.scosonline.com 2. Fax to the Executive office: 301.770.1949 3. Mail form to: NCOA & SCOS Conference 1600 Nebel Street, Suite 201 Rockville, MD 20852 First Name Last Name Institution/Affiliation Degree(s) Address City State Phone ZIP Fax Email address I will attend: n Conference, Friday, February 21, 12:00 pm - 5:45 pm n Reception, Friday, February 21, 5:45 pm - 6:45 pm n Conference, Saturday, February 22, 8:00 am - 3:00 pm Position: n Physician n Administrator n Nurse n Other n Pharmacist n Office Manager n Fellow Membership Status: n Member n Non-Member Special Services: n Vegetarian n Gluten Free n ADA: n Other: February 21-22, 2014 The Ballantyne Charlotte, NC

×