Conference Registration Form
OCN Review
Put date/location of your class here:

___________________________________________

Please print on your computer and fill out and mail
or e-mail Cyndi@RealNurseEd.com to register by e-mail
Please contact Cyndi if you would like to schedule your own course
or wish to know if any courses are currently scheduled

Payment must immediately follow by mail
or use PayPal

Name_________________________________

Address_______________________________

City/State/Zip___________________________

Telephone (home)_______________________

e-mail_________________________________

Employer______________________________

Your title ______________________________

License Number/State_____________________

Conference Fee
Full Price: $120 ____________
Discounts for ONS members
Special flat fees can be arranged for Cyndi to present this class to your group of any size!

Subtract $10 if registering by the early bird date: _________
Add $10 if registering after deadline or at the door (if space is available): ________
No guarantee of seating if not pre-registered

Please send check or money order made out to:
Cynthia F. Cramer
PO Box 353
Trilby, Fl
33593-0353
or pay online at PayPal
Contact: Cyndi@RealNurseEd.com if you have any questions.