Nurses Celebrating Nurses Networking Reception

Thursday, May 9, 2013 - 4:00 p.m. - 6:00 p.m.

790 N. Hewitt Road, Ypsilanti, MI 48197

Registration Information

  • Your conference registration will be confirmed one week prior to the event
  • Questions about the program: Rae Anne Cinder, 734.487.8040
  • Questions about your registration: Karen Metz, kmetz@emich.edu

Participant Information:

First Name Last Name

EMU Graduate? Yes No

Email

Home Address

City   State   Zip

Phone Cell Fax

Please let us know if you need special assistance.

If you would like to support the Nurses Helping Nurses Networking Reception, please select a sponsorship level:

$1000 Platinum Sponsor (Includes 8 tickets to networking reception and signage at the event)

$500 Gold Sponsor (Includes 6 tickets to networking reception and signage at the event)

$250 Silver Sponsor (Includes 4 tickets to networking reception and signage at the event)

$100 Bronze Sponsor (Includes 2 tickets to networking reception and signage at the event)

$25 Individual Ticket

$15 Recent Graduate Ticket (2012)

$10 Student Ticket

Sorry, I can't attend. Please accept my donation of:

Note: All proceeds will equally benefit Eastern Michigan University School of Nursing and the Nursing Scholarship Fund. Gifts to the Eastern Michigan University Foundation are tax deductible to the extent allowed by law.

Credit Card Information:
If you're using another form of payment, please contact Karen Metz, kmetz@emich.edu

First Name  Last Name  

Email Address  Telephone

Address

City
  State   Zip

Credit Card: MasterCard VISA  American Express 

Credit Card Number

Exp. Date Security Code (on back of card)