Conference Registration

MIDWIFERY UPDATES

Conference Registration

MIDWIFERY UPDATES CONFERENCES

HOW TO REGISTER:

By phone: Call Gail 503-422-6857, or Dana 503-667-0628

By Email: simply copy the form at the bottom of this page and email the information to us at hdw4@msn.com or wombservice@juno.com

By mail: Copy the form at the bottom of the page and mail with your check or money order to -- Gail Hart, 3354 SE Caruthers, Portland, OR 97214

Or you can now register online!

click here to register online

How to send Payment

Use PayPal to send an online payment by e-check or credit card. You don't need to be a paypal member to use a credit card! Just click the paypal logo below and follow directions to use visa, mastercard, discover. ( hdw4@email.msn.com . )

Or: mail checks or money orders to:

Gail Hart

3354 SE Caruthers

Portland Or, 97214.

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REGISTRATION FORM

NAME________________________________________

Address_______________________________________

City________________ _______State_____Zip____

Phone _________________ Email ______________

Are you attending day one? ($50)______

Day two? ($35)_______

Both days? ($80)______

CPR class? ($45)______ Are you recertifying?_____