Georgia perinatal quality collaborate 2019 Annual Meeting Registration … · 2019-02-22 ·...

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Georgia perinatal quality collaborate 2019 Annual Meeting Registration Form Mail Completed Registraon Form and Check to: GOGS 2925 Premiere Pkwy Ste 100 Duluth, GA 30097 Please note that your aendance is NOT guaranteed unl GOGS has received payment. Once payment has been received, a confirmaon of your registraon will be emailed to you. (1 registraon form per person) Room Block and Hotel See reverse side for Room Block and Hotel informaon. Room Block rates are available unl April 4, 2019 or unl room block is full. Aendees Informaon Contact Amanda Banks at [email protected] or 770.904.5296 with any quesons

Transcript of Georgia perinatal quality collaborate 2019 Annual Meeting Registration … · 2019-02-22 ·...

Page 1: Georgia perinatal quality collaborate 2019 Annual Meeting Registration … · 2019-02-22 · Georgia perinatal quality collaborate 2019 Annual Meeting — Registration Form Mail Completed

Georgia perinatal quality collaborate

2019 Annual Meeting — Registration Form

Mail Completed Registration Form

and Check to:

GOGS

2925 Premiere Pkwy

Ste 100

Duluth, GA 30097

Please note that your attendance is NOT guaranteed until GOGS has received payment.

Once payment has been received, a confirmation of your registration will be emailed to you.

(1 registration form per person)

Room Block and Hotel See reverse side for Room Block and Hotel information. Room Block rates are available until April 4, 2019 or until room block is full.

Attendee’s Information

Contact Amanda Banks at [email protected] or 770.904.5296

with any questions

Page 2: Georgia perinatal quality collaborate 2019 Annual Meeting Registration … · 2019-02-22 · Georgia perinatal quality collaborate 2019 Annual Meeting — Registration Form Mail Completed

Georgia perinatal quality collaborate

2019 Annual Meeting — Meeting Information