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Michigan Hospice

2010 Michigan Pain
The Michigan Pain and Palliative Care Assembly is recommended for all levels of professionals experienced in addressing pain issues from those who work directly in palliative care, to physicians and nurses seeking the latest trends and information on addressing pain.

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Registered Member
Non MemberFields Marked with an *asterisk are required.

2010 Michigan Pain & Palliative Care Assembly

Please complete the online registration form in its entirety, using one form per registrant. Please choose your appropriate title and please type in your license number. All fields are required.

Qty. Member Cost Non Member Cost
Earlybird Registration Extended to 9/8 - DO PHYSICIAN Registration

$ 139.00 $ 139.00
Earlybird Registration Extended to 9/8 - MD PHYSICIAN Registration

$ 139.00 $ 139.00
Earlybird Registration Extended to 9/8 - NURSE Registration

$ 139.00 $ 139.00
Earlybird Registration Extended to 9/8 - STUDENTS & RESIDENTS (ID Required)

$ 69.00 $ 69.00

First Name	*
Last Name	*
Nick Name
Member ID
Employment	*
Title
Mailing Address	*
City	*
State	*
Zip	*
Day time Phone	*
Fax	*
Email	*