Reservation Form Minimize

 Annual Collaborative

Orange County Diabetes Education Conference

for Health Care Professionals and Patients

 

Friday January 30, 2009  Professional Education 1:00-5:00pm

Saturday January 31, 2009 Professional Education 8:00am to 5:00pm

 

Harold Wade Education Center at CHOC

 

  

Name: ________________________________________

Company/Affiliation___________________________

Ph #: _____________________________________

E-mail address: _____________________________

Billing information:___________________________M/C/VISA 

Billing Address:______________________________

Include your billing address and expiration date.

 

Please send checks to the PADRE Foundation 455 S. Main St, Orange, CA 92868 

714-532-8330 

 

Continuing Education Units provided by CHOC and AADE

Fees: Physicians  $100                      Friday and Saturday

Other Health care professionals $50-  Friday and Saturday

 

~ Breakfast and Lunch Provided ~

 

RSVP Confirmation and payment information to the PADRE Foundation  

Fax Number (714) 532-8398

 

Please see our Web site at OC Diabetes Conference

 


 Print   

Copyright 2007 by OC Diabetes Conference   Terms Of Use  Privacy Statement  Login