You are invited to join us for part or all of a day of networking, education and the opportunity to influence nursing practice in our state.

REGISTER NOW
PAYMENT INFORMATION

For your convenience, you may print and fax the registration form or Register On-Line and pay at the door. If you are unable to attend, you may send someone in your place. Otherwise, you will be billed in accordance with the Cancellation Policy. Thank you.

REGISTER NOW:

Please check the program or programs for which you are registering:

Name, Title*:  
Organization*:  
Phone*:
E-Mail*:
*Required fields

 Please select appropriate option:

MEMBERS:
    $ 50  Business Meeting, Lunch and Program 
    $ 30  Business Meeting and/or Program only 
    $ 30  Business Meeting and Lunch only 
    $ 30  Lunch and Program only  

NON-MEMBERS:
    $ 60  Business Meeting, Lunch and Program
    $ 40  Business Meeting and/or Program only 
    $ 40  Business Meeting and Lunch only 
    $ 40  Lunch and Program only

LIASON or GUEST:
    $ 20

(indicate sponsoring member or organization)

Please make check payable to OMNE and mail to:
Linda Abernethy, RN, MSN
Director Clinical Services
Dorothea Dix Psychiatric Center
PO Box 926
Bangor Maine 04402-0926
(207) 941-4782
Linda.Abernethy@maine.gov  		For your convenience, you may print and fax the registration form and pay at the door. If you are unable to attend, you may send someone in your place. Otherwise, you will be billed in accordance with the Cancellation Policy. Thank you.
Cancellation policy: Cancellations prior to three (3) days notice in advance of program will be refunded. Cancellations within three days will not be refunded and will be billed for balance due.

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