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[Registration] 2020 PsA Dinner Series : Glendale

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PsA Dinner Series – Glendale Registration Form

Thursday, March 26th

Registration: 6:30 PM
Dinner: 7:00 – 8:30 PM

The Melting Pot
19420 N 59th Ave, Ste B113
Glendale, AZ 85308

Faculty: Teri Puhalsky, RN, CRNI

Step 1 of 3

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Name*
First Last
Credentials*
RN, NP, PA, etc | If you are industry, please put N/A | Students with no credentials please enter "student" here.
Mobile*
Email*

Home Address*
Street Address Address Line 2 City State ZIP Code
Company Name*
Job Title
Work Address
Street Address Address Line 2 City State ZIP Code
Work Phone

Are you a student or recent graduate?*
- Yes
- No
If yes, what school are you associated with?
Are you interested in a career in rheumatology?*
- Yes
- No
How did you hear about this event? Select all that apply.*
- Facebook
- Twitter
- Instagram
- LinkedIn
- Email
- Mailer
- Phone Call
- RNS Website
- Event where RNS Exhibited
Are you interested in joining a chapter of the RNS?*
- Yes
- No

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RHEUMATOLOGY NURSES SOCIETY

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The Rheumatology Nurses Society (RNS) is a professional organization committed to empowering nurses through professional development and education to benefit its members, patients, family, and community.

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