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For Members

1199SEIU Nurse Council Of WNY
Presents
A Nurse Recognition Event

"Positive Changes In Nursing"

Please register below for the event, to be held on June 22, 2009, at The Conference Center, in Niagara Falls, New York.

You view, print and complete the brochure and registration by downloading the pdf which is available here.

First Name:
Last Name:
City:
State:
Zip Code:
Phone:
Cell Phone:
Email Address:
Employer / Institution:
Job Classification:
Classification:
RN
NP
LPN
Student
Other
Please check one of the following:
1199SEIU Member $10
Non-member $20
Retired Nurse & Nursing Student $5
I WILL SEND MY PAYMENT BY MAIL:
 Make checks payable to: 1199SEIU United Healthcare Workers East
974 Kenmore Avenue | Buffalo, New York | 14216